ICD 10 CM S32.121B | Description & Clinical Information

ICD 10 S32.121B describes a specific type of sacral fracture, characterized by a vertical break through a foramen of the sacrum, with slight displacement and potential involvement of the spinal cord, resulting from various forms of trauma such as stress fractures from physical activities, falls from high elevations, and automobile accidents, often leading to damage of the nerve roots at the L5 and S1 or S2 vertebral levels, and this code is used for the initial encounter of a minimally displaced fracture that is exposed through a break in the skin.

Official Description Of S32.121B

The ICD 10 CM book defines ICD 10 code S32.121B as:

When To Use S32.121B

The diagnosis describes by the ICD 10 CM code S32.121B relates to a particular type of sacral fracture, known as a minimally displaced zone II fracture. This type of fracture occurs in the sacrum, the triangular bone located at the base of the spine. The diagnosis code is indicative of a potentially serious injury that can cause mild to moderate pain, mobility issues, and other complications.

Symptoms of a minimally displaced zone II fracture of the sacrum can include pain in the lower back or pelvic region, inability to stand or walk, stiffness, swelling, and a decrease in range of motion. Additionally, the patient may experience tingling or numbness in the legs or other areas of the body, as well as a loss of sensation or control in the bowel or bladder. These symptoms can be very uncomfortable and may severely impact the patient’s quality of life.

Medical professionals diagnose the condition by conducting a detailed examination of the patient’s medical history and performing a thorough physical examination. Diagnostic tests may include neurological tests to assess muscle strength, sensation, and reflexes, imaging tests such as X-rays and computed tomography (CT) scans, and nerve conduction and electromyography tests. Additionally, providers may evaluate anal and bladder sphincter control to better understand the severity of the injury.

Patients with an open fracture may require surgery to close the wound, while those with unstable fractures may require fixation and nerve decompression surgery. Treatment depends on various factors, including the severity of the injury, the patient’s age, and overall health status, as well as their desired level of activity during recovery.

For less severe cases, bed rest may be recommended, along with the use of a sacral brace to limit movement, and gradual weight-bearing exercises as tolerated. Medications such as steroids, analgesics, and non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce pain and swelling. In cases where there is a risk of blood clotting, thrombolytics or anticoagulants may be given to the patient.

In conclusion, a minimally displaced zone II fracture of the sacrum, as indicated by the ICD 10 CM code S32.121B, can be a painful injury that may impact a patient’s mobility and quality of life. The condition can be diagnosed using a variety of methods and treatment options are available depending on the severity of the injury. Individuals who experience any of the symptoms described above should consult with a qualified medical professional immediately to determine the most appropriate course of action.