ICD 10 CM S32.17XS | Description & Clinical Information

ICD 10 S32.17XS describes a specific type of sacral fracture, known as a type 4 fracture, which occurs in zone III of the sacrum and results in a crushed S1 vertebral segment due to severe compression from above the vertebra, typically caused by high-impact activities like running, falls from high elevations, and automobile accidents, and this code is used to indicate an encounter for a sequela, which is a condition resulting from the injury.

Official Description Of S32.17XS

The ICD 10 CM book defines ICD 10 code S32.17XS as:

When To Use S32.17XS

The diagnosis describes by the ICD 10 CM S32.17XS code refers to a type 4 sacral fracture. This severe injury can result in a range of painful and debilitating symptoms, including the inability to stand or walk, decreased range of motion, swelling and stiffness, as well as weakness in the muscles of the lower back. Patients with this type of fracture may also experience tingling, numbness, or a loss of sensation, particularly in their legs.

The severity of the injury can also have a significant impact on the patient’s bowel and bladder control, especially if the S1 through S3 levels are affected. Providers can diagnose this condition based on several factors, including the patient’s medical history and physical examination, neurological tests to evaluate muscle strength, sensation, and reflexes, and imaging techniques such as Xrays and computed tomography.

In addition, electromyography and nerve conduction tests may also be required, as well as an evaluation of anal and bladder sphincter control. It is essential to identify these fractures accurately as treatment options can vary accordingly.

Stable fractures rarely require surgery, but more severe and unstable fractures may necessitate fixation and nerve decompression surgery. Bed rest, sacral braces to restrict movement, and traction are also effective treatment options. Physical therapy with gradual weight-bearing as tolerated can be immensely beneficial in the recovery process, as can medications such as steroids, analgesics, and nonsteroidal anti-inflammatory drugs, or thrombolytics or anticoagulants in some situations where the risk of blood clots is high.

It is essential to note that early intervention can have a significant positive impact on patients’ recovery from a sacral fracture. Proper medical care, including all the relevant tests and scans, followed by timely and appropriate treatment, can help reduce the patient’s discomfort and inconvenience and increase their chances of a full recovery.

In conclusion, the ICD 10 CM S32.17XS code describes a type 4 sacral fracture that can have life-altering consequences for patients. Quick and accurate diagnosis is essential for starting appropriate treatment as soon as possible, in the form of bed rest, bracing, or surgery, followed by physical therapy, medication, as needed. Therefore, medical professionals must stay vigilant and be well-versed in the diagnosis and treatment options available for sacral fractures to provide the best possible care to their patients.