ICD 10 CM S32.19 | Description & Clinical Information

ICD 10 S32.19 describes a type of fracture that occurs in the sacrum, which is the large triangular bone located at the end of the vertebral column, resulting from various forms of trauma such as falls from high elevations, stress fractures from sports activities like running, and automobile accidents, and may or may not cause displacement of the vertebrae, often leading to damage of the sacral nerve roots, and this code is used when the provider identifies a specific type of sacral fracture that is not classified under any other codes in this category.

Official Description Of S32.19

The ICD 10 CM book defines ICD 10 code S32.19 as:

When To Use S32.19

The diagnosis described by the ICD 10 CM S32.19 code refers to sacral fractures that are not classified elsewhere. These fractures usually occur as a result of trauma, such as a fall or car accident. They can cause mild to moderate pain, swelling, stiffness, and decreased range of motion. In some cases, they can also lead to weakness in the muscles of the low back, tingling, numbness, or loss of sensation in the legs.

Medical providers use a variety of methods to diagnose this condition. They start with a physical examination and take a detailed medical history to understand how the fracture occurred and how the patient has been affected by it. They may also perform neurological tests to evaluate muscle strength, sensation, and reflexes. Imaging techniques such as X-rays and computed tomography can detect the location and severity of the fracture.

In more severe cases, providers may perform electromyography and nerve conduction tests to assess the extent of nerve damage. In addition, they may evaluate the patient’s anal and bladder sphincter control to determine the extent of any nerve damage in the sacral region.

Once a diagnosis of sacral fracture has been made, medical providers will formulate a treatment plan. Stable fractures that do not affect nerve function may simply require rest and pain management with medication. However, unstable fractures usually require surgical intervention. Providers may perform nerve decompression surgery to relieve pressure on the nerves, and fixation surgery to stabilize the fracture. Open fractures that have broken the skin may require wound closure as part of the surgical treatment.

Patients with sacral fractures may need a period of bed rest to allow the fracture to heal. In addition, they may be fitted with a sacral brace to restrict movement and prevent further injury. Gradual weight-bearing and physical therapy to improve strength, mobility, and range of motion may also be recommended.

Patients with sacral fractures are also at an increased risk of developing blood clots in the legs or lungs. To minimize this risk, medical providers may prescribe thrombolytics or anticoagulants in addition to pain management medication.

In conclusion, a diagnosis of sacral fracture with the ICD 10 CM S32.19 code can have significant implications for patients. Providers will use a variety of methods to diagnose the condition and formulate a treatment plan that addresses the patient’s specific needs. While surgery may be necessary in some cases, many patients with stable fractures can recover with rest and careful medical management.