ICD 10 CM S49.112D | Description & Clinical Information
ICD 10 S49.112D describes a specific type of fracture, known as a Salter Harris type I physeal fracture, which occurs in the left arm at the lower end of the humerus, the long bone that extends from the shoulder to the elbow, and is characterized by a break across the epiphyseal plate, or growth plate, that widens the plate, and is typically caused by sudden or blunt trauma, such as a motor vehicle accident, sports activities, falls, or an assault, and is most commonly seen in children, and this particular code indicates that it is a subsequent encounter for a fracture that is healing normally.
Official Description Of S49.112D
The ICD 10 CM book defines ICD 10 code S49.112D as:
When To Use S49.112D
The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD-10-CM) diagnosis code S49.112D is used to describe a specific type of injury that can occur in the left arm. This injury is a Salter Harris type I physeal fracture that affects the lower end of the humerus. This condition can cause a range of symptoms such as pain, swelling, bruising, deformity, warmth, stiffness, tenderness, and an inability to put weight on the affected arm. An individual may also experience muscle spasm, numbness, and tingling due to possible nerve injury. Further symptoms may include restricted motion, and possible crookedness or unequal length compared to the opposite arm.
Healthcare providers can diagnose this condition by evaluating the patient’s personal history of trauma and conducting a physical examination to assess the wound, nerves, or blood supply. Imaging techniques such as X-rays, CT scans, and MRI can be used to determine the extent of damage, while laboratory examinations may be performed when appropriate.
Treatment options for a Salter Harris type I physeal fracture of the left arm at the lower end of the humerus can vary depending on the severity of the fracture. Medications such as analgesics, corticosteroids, muscle relaxants, nonsteroidal anti-inflammatory drugs (NSAIDs), and thrombolytics or anticoagulants may be used to reduce the risk of blood clots. Calcium and vitamin D supplements may also be recommended to improve the bone strength.
A splint or soft cast may be used to provide immobilization to prevent further damage and promote healing. Resting the affected arm and applying ice, compression, and elevation of the affected part can also aid in the reduction of swelling. Physical therapy may be recommended to improve the range of motion, flexibility, and muscle strength. In some cases, surgical open reduction and internal fixation may be the most appropriate course of action.
Overall, the ICD-10-CM S49.112D diagnosis code provides a standardized way for medical professionals to communicate about this particular type of injury. Accurate coding also supports accurate payment and helps to improve data collection for research purposes. It is important for medical coders to stay updated on the latest changes to ICD-10-CM codes and to ensure that the codes they select accurately reflect the patient’s diagnosis and treatment. This helps to ensure quality care for patients and effective communication among healthcare providers.
