ICD 10 CM S17.8XXA | Description & Clinical Information

ICD 10 S17.8XXA describes an injury to the neck that occurs when it is crushed by a heavy weight or squeezed between two objects, resulting in a range of potential injuries such as an open wound, fractured vertebrae, blood vessel dissection or laceration, spinal cord injury, and damage to other structures in the neck, with the provider identifying the specific structures affected by the crush injury that are not represented by another code in this category at the initial encounter for the injury.

Official Description Of S17.8XXA

The ICD 10 CM book defines ICD 10 code S17.8XXA as:

Crushing injury of other specified parts of neck, initial encounter
Parent Code Notes: S17

Use additional code for all associated injuries, such as:
injury of blood vessels (S15.-)
open wound of neck (S11.-)
spinal cord injury (S14.0, S14.1-)
vertebral fracture (S12.0–S12.3-)

When To Use S17.8XXA

The diagnosis describes by ICD 10 CM S17.8XXA involves a crushing injury of the neck, which can have severe consequences, including bleeding, bruising, infection, fracture, laceration, nerve injury, and other damage to the anatomy. This type of injury can be extremely dangerous, and potentially life-threatening, because the neck is home to many vital structures, such as the trachea, esophagus, thyroid gland, major blood vessels, and nerve plexuses.

Health care providers are responsible for diagnosing this condition, which they typically do by taking into account the patient’s explanation of the event that caused the injury and the nature of the injury. They also perform various diagnostic procedures, including physical examination with specific attention to the wound, sensation, reflexes, vascular structures, and throat, as well as imaging techniques such as X-rays, MRI, and CT scans to assess for fracture and soft tissue damage. In addition, laboratory examination of blood is necessary to assess for blood loss.

The treatment options for a crushing injury of the neck will depend on the severity of the injury and how it has impacted the anatomy. However, in general, the first step is to stop any bleeding and clean the wound to avoid infection. Then, appropriate topical medication is applied to the affected area. If necessary, the affected part needs to be stabilized to prevent movement. Special attention must be taken to ensure the airway is restored or stabilized, which is a crucial step in the management of these injuries.

Medications such as analgesics, antibiotics, and tetanus prophylaxis might be necessary, depending on the circumstances of each case. Moreover, in some severe cases, surgery is required to treat extensive damage of the neck structures.

Overall, a crushing injury of the neck can have numerous complications and can be a potentially life-threatening situation if not appropriately managed. Health care providers must be vigilant in their assessment and treatment of these injuries to avoid further complications and ensure the best possible outcome for their patients. Therefore, understanding the appropriate diagnosis and management are essential for medical coders working in the healthcare industry.

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