ICD 10 CM S35.2 | Description & Clinical Information

ICD 10 S35.2 describes the occurrence of damage or tearing of a portion of the celiac or mesenteric artery and its branches, which supply internal viscera, the large intestine, and the rectum, resulting from a blunt or penetrating trauma caused by a motor vehicle accident or sports activity, a puncture or gunshot wound, external compression or force, or injury during surgery.

Official Description Of S35.2

The ICD 10 CM book defines ICD 10 code S35.2 as:

Injury of celiac or mesenteric artery and branches
Parent Code Notes: S35

Code also: any associated open wound (S31.-)

Clinical Information

The diagnosis describes by ICD 10 CM S35.2 pertains to an injury that occurs in the celiac or mesenteric artery and its branches. This kind of injury can result in severe abdominal pain, bloody stools, less or no bowel movements, organ failure, and low blood pressure. It can also lead to nausea, vomiting, dizziness, shock, hematoma, bleeding, or a blood clot in the abdominal cavity.

To correctly diagnose this injury, healthcare providers must conduct a thorough history and physical examination of the patient, which includes a vascular assessment with auscultation to identify the presence of bruits. Patients may also undergo laboratory studies of the blood to determine coagulation factors, platelets, and kidney function evaluation. If needed, imaging studies such as X-rays, venography, angiography, urography, duplex Doppler scan, magnetic resonance angiography, or MRA, and computed tomography angiography, or CTA may be necessary.

The injury can have serious consequences if left untreated, and healthcare providers have several options to remedy it. One option is observation, in which healthcare providers continually monitor the patient’s condition. Anticoagulation or antiplatelet therapy is another treatment option for patients with a confirmed injury. This therapy aims to prevent further blood clotting, which can cause more damage to the affected artery.

Endovascular surgery is another option, and if necessary, it is used to ligate or repair the tear, or to place a stent in the vessel or graft for revascularization. Vascular surgeons typically perform this kind of surgery to repair damaged arteries, including those that have suffered trauma.

In conclusion, healthcare providers must have a thorough understanding of the ICD 10 CM S35.2 diagnosis code, which describes injuries to the celiac or mesenteric artery and its branches. To treat this injury effectively, providers must conduct a patient’s physical examination and perform a series of tests to determine the severity of the injury. Treatment options include observation, anticoagulation or antiplatelet therapy, and endovascular surgery, depending on the patient’s condition. In this case, a timely and accurate diagnosis is crucial for the best possible outcome.

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