ICD 10 CM S28.211D | Description & Clinical Information
ICD 10 S28.211D describes a specific medical condition in which the right breast has been completely amputated due to a traumatic injury that involves the chest being crushed by a heavy weight or squeezed between two objects, and this code is used for subsequent encounters related to the injury.
Official Description Of S28.211D
The ICD 10 CM book defines ICD 10 code S28.211D as:
When To Use S28.211D
The diagnosis describes by ICD 10 CM S28.211D refers to a complete traumatic amputation of the right breast, which can result in severe pain, bleeding, numbness, tingling, and severely damaged soft tissue. This condition can be caused by various factors, including accidents, falls, or physical trauma.
To diagnose this condition, healthcare providers typically rely on the patient’s medical history and physical examination. They will assess the affected area to include nerves and blood vessels to determine the possibility of reattachment of damaged tissue through a Mangled Extremity Severity Score and imaging techniques such as X-rays, computed tomography, or magnetic resonance imaging.
Once a patient has been diagnosed with a complete traumatic amputation of the right breast, treatment options may vary depending on the extent of the injury. Healthcare providers will begin with stopping any bleeding, cleaning and repairing the wound, and applying a dressing to avoid infection. Analgesics, tetanus prophylaxis, and nonsteroidal anti-inflammatory drugs may also be used to alleviate pain and inflammation.
If an infection is present, antibiotics may be prescribed to treat the infection before proceeding with surgery. The surgical approach will depend on the extent of tissue damage and may include reconstructive techniques to restore the breast’s appearance and function. Healthcare providers may also recommend physical therapy and counseling to aid in the patient’s recovery and adjustment to any changes in their physical appearance.
Furthermore, surgeries for the reattachment of amputated breast tissue are difficult and are not always successful. Hence healthcare providers also consider various non-surgical options, like prosthetic breasts. In such situations, healthcare providers can refer their patients to breast prosthesis fitting services. A breast prosthesis comes in multiple shapes, sizes, and materials like silicone, foam, or fiberfill, which are inserted inside a brassiere to give the shape of a natural breast. Breast prostheses can have critical psychosocial benefits for some women following breast surgery.
In conclusion, the diagnosis of a complete traumatic amputation of the right breast is a serious medical condition that requires immediate medical attention. Healthcare providers must carefully assess the area to determine the possibility of reattachment through different imaging techniques before proceeding with any surgical interventions. While prosthetic breasts are an alternative solution, healthcare providers must evaluate every patient’s unique circumstances before making any treatment decisions. The ultimate goal of healthcare providers is to ensure the patients’ recovery and help them adjust to any physical and emotional changes that may result from their condition.
