ICD 10 CM S33.8XXS | Description & Clinical Information

ICD 10 S33.8XXS describes a medical condition characterized by the stretching or tearing of the ligaments that connect the bones in the lumbar spine and hip regions, which can be caused by various factors such as trauma from a motor vehicle accident or sports injuries, incorrect posture, obesity, childbirth, and certain disease conditions like arthritis or degenerative disease, and it is used by healthcare providers to identify an affected part of the lumbar spine or pelvis that is not represented by another code at the time of the encounter for a sequela, which is a condition resulting from the injury.

Official Description Of S33.8XXS

The ICD 10 CM book defines ICD 10 code S33.8XXS as:

Sprain of other parts of lumbar spine and pelvis, sequela
Parent Code Notes: S33

Includes: avulsion of joint or ligament of lumbar spine and pelvis
laceration of cartilage, joint or ligament of lumbar spine and pelvis
sprain of cartilage, joint or ligament of lumbar spine and pelvis
traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
traumatic rupture of joint or ligament of lumbar spine and pelvis
traumatic subluxation of joint or ligament of lumbar spine and pelvis
traumatic tear of joint or ligament of lumbar spine and pelvis

Excludes1: nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
obstetric damage to pelvic joints and ligaments (O71.6)

Excludes2: dislocation and sprain of joints and ligaments of hip (S73.-)
strain of muscle of lower back and pelvis (S39.01-)

Code also: any associated open wound

When To Use S33.8XXS

The diagnosis described by the ICD 10 CM code S33.8XXS refers to a sprain that occurs in other regions of the lumbar spine and pelvic region, leading to low back pain that radiates to the buttocks but not to the lower limb. Patients diagnosed with this condition may experience decreased range of motion, stiffness, and muscle spasm.

Diagnosis of this condition is based on the patient’s medical history and a thorough physical examination that includes imaging techniques such as X-rays, magnetic resonance imaging, and computed tomography scans. These imaging tests help assess the extent of the damage and provide insight into the most appropriate treatment options.

Treatment options for patients diagnosed with S33.8XXS include rest for short duration. This period of rest is important to help the patient’s body relax and allow inflammation to subside. After rest, the use of ice therapy followed by heat therapy can help manage pain and reduce inflammation.

Medications such as analgesics, muscle relaxants, and nonsteroidal anti-inflammatory drugs may be prescribed to provide relief from pain and reduce inflammation. Pelvic traction may also be used to help stabilize and support the affected area, relieving pressure from the joints and muscles.

Physical therapy is an important component of treatment for patients diagnosed with S33.8XXS. Physical therapists can design a rehabilitation program that focuses on improving patients’ strength and flexibility while reducing pain and swelling. These sessions can include exercises such as stretching, strengthening, and range of motion activities.

In some cases, surgical intervention may be necessary to repair the damage caused by the sprain. Surgical procedures are typically reserved for patients who do not respond to conservative treatment methods. The type of surgery performed depends on the extent and location of the damage.

Overall, early diagnosis and intervention are essential to manage sprains in the lumbar spine and pelvic area effectively. Patients who experience low back pain that radiates to the buttocks or other related symptoms should seek medical attention promptly. With proper treatment, patients can regain their mobility, reduce pain and inflammation, and maintain their overall quality of life.

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