ICD 10 CM S22.002 | Description & Clinical Information

ICD 10 S22.002 describes a type of injury to the thoracic spine resulting from severe high impact trauma, such as a motor vehicle accident or fall from a height, which causes a break in a bony segment of the spine leading to neurologic injury and spinal canal compromise, as well as displacement, angulation, or subluxation of the affected vertebra, with the caveat that the specific level of the thoracic vertebra is not documented by the provider.

Official Description Of S22.002

The ICD 10 CM book defines ICD 10 code S22.002 as:

When To Use S22.002

The diagnosis describes by ICD-10 CM S22.002 is an unstable burst fracture that can occur at any level of the thoracic vertebra. This condition is known to cause severe discomfort, making it difficult for people to stand or walk, and may result in swelling, stiffness, numbness, and tingling. When left untreated, the curvature of the spine may increase, which can lead to a decreased range of motion.

Additionally, nerve injury is a possibility, which can culminate in partial or complete paralysis. Brain injury, which can result in temporary loss of consciousness, is also a possibility due to the nature of this injury. Physicians use a combination of the patient’s history, a thorough physical examination, and neurological tests to evaluate muscle strength, sensation, and reflexes.

In addition to these tests, imaging techniques such as X-rays, computed tomography (CT), and magnetic resonance imaging (MRI) are used to assess the extent of the injury. These imaging tests allow healthcare professionals to visualize the broken vertebrae and determine the exact location of the injury.

Treatment options for ICD-10 CM S22.002 typically involve immediate stabilization of the spine, which almost always requires surgery to fuse the vertebrae and restore alignment. Surgical intervention is essential in cases involving spinal cord compression or mechanical instability, as this can prevent further spinal cord damage.

Physical therapy and rest will also be necessary after the surgery to help patients regain mobility and ensure their spine heals correctly. Pain management, including the use of steroids and analgesics, may be recommended, especially in the immediate recovery phase.

It is important to note that an unstable burst fracture is a severe injury that can result in severe complications. Therefore, early diagnosis, prompt surgical intervention and appropriate postoperative care are critical factors in ensuring patients with ICD-10 CM S22.002 make a full recovery. Healthcare professionals working with these patients should be attuned to their needs and capable of providing the necessary support and care to promote optimal healing.