ICD 10 CM S32.481B | Description & Clinical Information

ICD 10 S32.481B describes a specific type of injury that involves a fracture in the dome-shaped roof of the acetabulum, which is a weight-bearing area located at the topmost portion of the acetabular socket, resulting from trauma such as motor vehicle accidents, falls, and sports injuries, where the fractured fragments move out of their original position, and this code is used for the initial encounter for open fracture in which the broken bones penetrate the skin.

Official Description Of S32.481B

The ICD 10 CM book defines ICD 10 code S32.481B as:

Displaced dome fracture of right acetabulum, initial encounter for open fracture
Parent Code Notes: S32.4

Code also: any associated fracture of pelvic ring (S32.8-)

Parent Code Notes: S32

Includes: fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes1: transection of abdomen (S38.3)

Excludes2: fracture of hip NOS (S72.0-)

Code first any associated spinal cord and spinal nerve injury (S34.-)

When To Use S32.481B

The diagnosis code ICD-10-CM S32.481B pertains to the displaced dome fracture of the right acetabulum. This condition is characterized by intense pain that spreads to the groin and leg, swelling and stiffness in the affected lower extremity, muscle spasms, numbness, and tingling. It also causes bleeding, arthritis, and an inability to bear weight on the affected side.

To make a diagnosis, healthcare providers evaluate the patient’s history of trauma and perform a physical examination to assess the wound, nerves, or blood supply. They may also perform imaging tests such as X-rays, CT scans, and MRIs as well as laboratory tests when deemed necessary.

Once a diagnosis has been made, treatment options can be explored. Medications such as analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs can help to alleviate pain and discomfort. Bed rest, as well as the use of crutches or walker, can limit weight bearing on the affected extremity.

Skeletal traction is another treatment option that helps to keep the broken bones in place while they heal. Physical therapy can also be useful in improving the range of motion, flexibility, and muscle strength around the affected area. Additionally, surgical open reduction and internal fixation may be necessary in certain cases to realign the bones and promote proper healing.

It is critical to seek medical treatment immediately after experiencing any trauma that may lead to a fracture in the acetabulum. The longer the patient waits for treatment, the more likely it is that the condition will worsen over time leading to more complications and reducing the chances of successful healing.

Overall, the ICD-10-CM S32.481B diagnosis code is crucial in identifying and treating the displaced dome fracture of the right acetabulum. With prompt and appropriate care, patients can expect to achieve a full recovery and regain their quality of life.

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