ICD 10 CM S45.199 | Description & Clinical Information
ICD 10 S45.199 describes a specific type of injury to the brachial artery, which is the primary artery located in the upper arm, resulting from trauma, and is used when the provider identifies an injury to the brachial artery that is not represented by any other code in this category, but does not document whether the injury involves the right or left side.
Official Description Of S45.199
The ICD 10 CM book defines ICD 10 code S45.199 as:
Excludes2: injury of subclavian artery (S25.1)
injury of subclavian vein (S25.3)
Code also: any associated open wound (S41.-)
When To Use S45.199
The diagnosis describes by ICD 10 CM S45.199 refers to a specific injury to the brachial artery that is not classified by other codes in the ICD 10 classification system. This type of injury can lead to severe and rapid bleeding, causing a pulsating hematoma and low blood pressure. The affected arm may also exhibit reduced blood flow, resulting in diminished or absent radial and ulnar arterial pulses, coldness, and loss of color. The injury can also affect nerves, bone, and soft tissues in proximity.
To diagnose this condition, healthcare providers will typically engage in a thorough physical examination focused on nerve and vascular assessment. They may also order laboratory studies to evaluate blood coagulation factors, platelet counts, and kidney function. Imaging studies such as X-rays, ultrasounds, or arteriography may also be used to investigate the extent of the injury.
Several treatment options are available for individuals with this injury diagnosis. Immediate pressure over the wound can help control bleeding, while anticoagulation and antiplatelet therapies may be used to prevent blood clotting or treat hematomas. Analgesics can provide relief from pain, and tetanus prophylaxis may be necessary, especially if the wound is contaminated. If an infection is present, antibiotics may be prescribed. Surgery to repair the artery may be necessary in more severe cases, and in some cases, amputation of the affected arm may be required.
Given the potential severity of S45.199 injuries, prompt medical attention is critical. A thorough evaluation and accurate diagnosis can help providers tailor a treatment plan that addresses an individual’s unique needs and minimizes complications. By working closely with medical professionals and following their recommended treatment protocols, individuals with this diagnosis can hope to achieve the best possible outcome and regain function in their affected limb.
