ICD 10 CM S27.818D | Description & Clinical Information

ICD 10 S27.818D describes a medical condition that involves the damage of the thoracic esophagus, which is a part of the alimentary tract located in the chest area and responsible for transporting food from the throat to the stomach, and is caused by various factors such as trauma from a motor vehicle accident, forced vomiting, ingestion of a foreign object or highly corrosive substance, or medical procedures like intubation, endoscopy, or surgery, and this code is used by healthcare providers to specify a particular type of esophageal injury that is not represented by any other code in this category during a subsequent encounter for the injury.

Official Description Of S27.818D

The ICD 10 CM book defines ICD 10 code S27.818D as:

Other injury of esophagus (thoracic part), subsequent encounter
Parent Code Notes: S27

Excludes2: injury of cervical esophagus (S10-S19)
injury of trachea (cervical) (S10-S19)

Code also: any associated open wound of thorax (S21.-)

When To Use S27.818D

The diagnosis describes by ICD-10-CM code S27.818D pertains to a type of esophageal injury resulting in a wide range of symptoms that can significantly affect the patient’s well-being. The symptoms may include chest pain, difficulty in breathing or swallowing, discomfort while lying flat, abdominal pain, nausea and vomiting with blood, increased heart rate, hypotension or decreased blood pressure, as well as severe sepsis. The condition can stem from various causes such as ingestion of harmful substances, traumas, or infections.

Upon suspecting esophageal injuries, healthcare providers begin their diagnosis with a thorough examination of the patient’s symptoms and medical history. Physical examinations help emphasize the severity of the symptoms and determine the extent of the damage. Providers also utilize medical imaging techniques such as chest Xrays and computed tomography scans. Contrast studies and esophagoscopy may also be necessary, depending on the severity of the condition.

Once a diagnosis is confirmed, providers will determine the best course of treatment for the patient. The chosen treatment will depend on the extent of the damage and the symptoms’ severity. Typically, providers may advise a combination of medications, including analgesics to manage pain and antibiotics to prevent or treat infections. In severe cases, patients may require supplemental intravenous fluids and nutrients to hydrate the body adequately.

Deep breathing exercises and chest tube insertion are among the other possible treatments to manage the condition. Chest tube insertion is necessary when excess fluid builds up around the lungs, leading to pressure and discomfort. Surgery may also be considered if the injury’s extent requires it.

Though the diagnosis may cause considerable discomfort, recovery can be expected with proper treatment and care. Medical professionals can provide support and care to address the condition and its symptoms effectively. Patients should not hesitate to communicate their symptoms and concerns to ensure they receive the proper diagnosis and treatment.

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