ICD 10 CM S52.691J | Description & Clinical Information

ICD 10 S52.691J describes a specific type of fracture that occurs at the lower end of the right ulna, which is one of the two bones in the forearm, resulting from either trauma or overuse, and is classified as type IIIA, IIIB, or IIIC according to the Gustilo classification for open long bone fractures, and is identified by the healthcare provider as a fracture that is not represented by any other code in this category during a subsequent encounter for an open, normally healing fracture that is exposed through a tear or laceration of the skin caused by displaced fracture fragments or external injury.

Official Description Of S52.691J

The ICD 10 CM book defines ICD 10 code S52.691J as:

Other fracture of lower end of right ulna, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Parent Code Notes: S52

Excludes1: traumatic amputation of forearm (S58.-)

Excludes2: fracture at wrist and hand level (S62.-)

When To Use S52.691J

The diagnosis describes by the ICD 10 CM S52.691J code refers to a specific type of injury. This injury is a fracture of the lower end of the right ulna, which is one of the two long bones in the forearm. The symptoms of this condition include pain and swelling at the affected site, as well as bruising, difficulty moving the elbow, and deformity in the elbow. Patients may also experience numbness and tingling at the site of the injury, which can be attributed to damage to blood vessels and nerves in the affected area.

To determine the presence of this condition, healthcare providers typically conduct a thorough physical examination of the patient’s arm. Additionally, imaging techniques such as X-rays, magnetic resonance imaging (MRI), computed tomography (CT), and bone scan may be used to assess the severity of the injury. These tests help healthcare providers to determine the proper course of treatment for the patient.

Depending on the severity of the injury, treatment options may vary. Stable and closed fractures, which do not involve any displacement of the bone, may be treated with conservative measures such as immobilization. This typically involves a splint or cast to restrict limb movement and the application of ice to the affected area. Patients may also be given medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain.

However, unstable fractures, where the bone has moved from its normal position, and open fractures, where the bone has broken through the skin, may require surgery to correct. In the case of unstable fractures, fixation may be needed to secure the bone in its proper position. This may involve the use of plates, screws, and pins to hold the bone in place while it heals. Open fractures require surgery to clean and close the wound before fixation can be performed.

Apart from surgery and medication, physiotherapy is also a common form of treatment for this type of injury. Patients may be advised to engage in exercises that improve flexibility, strength, and range of motion of the arm. These exercises are crucial for restoring normal function to the affected limb.

In conclusion, the ICD 10 CM S52.691J code is used to describe a fracture of the lower end of the right ulna bone. Symptoms of this condition include pain, swelling, bruising, difficulty moving the elbow, and numbness and tingling at the affected site. A thorough physical examination and imaging tests are used to diagnose the condition. Treatment options may include immobilization, medication, surgical fixation for unstable and open fractures, and rehabilitation through physiotherapy. Healthcare professionals must work collaboratively to ensure that patients receive prompt and appropriate care for this type of injury.

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