ICD 10 CM S58.911 | Description & Clinical Information
ICD 10 S58.911 describes a medical condition characterized by the complete traumatic amputation of the right forearm at an unspecified level, which occurs as a result of a traumatic event such as a motor vehicle accident or getting caught between heavy objects and machinery, and is documented by the healthcare provider without specifying the exact level of the right forearm that has been affected.
Official Description Of S58.911
The ICD 10 CM book defines ICD 10 code S58.911 as:
Excludes1: traumatic amputation of wrist (S68.-)
Excludes1: traumatic amputation of wrist and hand (S68.-)
When To Use S58.911
The diagnosis describes by the ICD 10 CM S58.911 code is a traumatic amputation of the right forearm at an unspecified level. This injury can have severe consequences, such as pain, bleeding, numbness, and tingling, caused by nerve injury, compartment syndrome, and the severe damage of soft tissues.
The healthcare provider will conduct a thorough assessment of the patient’s condition by taking a detailed history and performing a comprehensive physical examination. Particular attention will be paid to the nerves and blood vessels, which will help determine the possibility of reattaching the amputated part. To assess the severity of the injury, the provider will use the Mangled Extremity Severity Score.
Besides the physical examination, the provider may use imaging techniques, such as X-rays, computed tomography, or magnetic resonance imaging, to obtain more detailed information about the injury.
The best course of treatment for the patient depends on the severity of their injury. In case the amputated part is suitable for reattachment, surgery would be necessary to reattach the severed tissue. During this surgery, the provider will attempt to stop any bleeding, clean and repair the wound, and apply a dressing to prevent infection.
Additionally, the healthcare provider may prescribe analgesics and nonsteroidal anti-inflammatory drugs to manage the patient’s pain. They may also prescribe antibiotics to prevent or treat any potential infections and administer tetanus prophylaxis if appropriate.
If reattaching the amputated part is not possible, the patient may opt for a prosthetic arm or hand. However, this can only happen after the wound has healed completely. During the rehabilitation process, the patient may require follow-up physical therapy sessions. These sessions will help them regain their limb’s use or adjust to life with a prosthetic limb. Counseling may also be necessary to help the patient cope with the consequences of the injury.
In conclusion, traumatic amputation of the right forearm at an unspecified level is a severe injury that requires a prompt and multidisciplinary approach. Accurate and timely diagnosis, as well as proper treatment, can help reduce pain and avoid secondary complications. Implementing the right treatment options can lead patients to achieve better outcomes and improve their quality of life.
