ICD 10 CM S59.131A | Description & Clinical Information

ICD 10 S59.131A describes a specific type of injury that involves a Salter-Harris type III physeal fracture of the upper end of the right arm radius, which is the larger of the two bones in the forearm, located on the thumb side of the forearm, resulting from a horizontal break through the physis or growth plate that extends down through the epiphysis or end portion of the upper arm bone, causing a piece of the bone end to break off, 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, particularly older children, and this code is used for the initial encounter for a closed fracture.

Official Description Of S59.131A

The ICD 10 CM book defines ICD 10 code S59.131A as:

Clinical Information

The diagnosis describes by the ICD 10 CM S59.131A code refers to a specific type of fracture known as a SalterHarris type III physeal fracture. This type of injury commonly occurs in the upper end of the radius bone located in the right arm. Patients who suffer from this type of fracture may experience an array of symptoms, including pain, swelling, bruising, deformity, warmth, stiffness, tenderness, inability to put weight on the affected arm, muscle spasms, numbness and tingling sensation due to possible nerve injury, restriction of motion, and possible crookedness or unequal length when compared to the opposite arm.

To properly diagnose this condition, providers will typically gather a patient’s personal history of trauma and conduct a physical examination to assess the wound, nerves, or blood supply. Additionally, imaging techniques such as X-rays, computed tomography (CT) scans, or magnetic resonance imaging (MRI) will be employed to determine the extent of the damage. In some cases, laboratory examination may also be necessary.

Various treatment options are available for patients diagnosed with a SalterHarris type III physeal fracture. Medications such as analgesics, corticosteroids, muscle relaxants, nonsteroidal anti-inflammatory drugs (NSAIDs), and thrombolytics or anticoagulants may be prescribed to reduce the pain and inflammation as well as the risk of blood clots. Calcium and vitamin D supplements may also be recommended to improve bone strength.

In most cases, immobilization of the affected arm with a splint or cast will be necessary to prevent further damage and promote healing after reduction. Rest is also crucial during the recovery period. Additionally, application of ice, compression, and elevation of the affected limb may be suggested to reduce swelling. Physical therapy will help improve the range of motion, flexibility, and muscle strength.

In severe cases where these treatments prove ineffective, surgical intervention such as open reduction and internal fixation (ORIF) may be necessary. During ORIF, the bone fragments are repositioned and held in place with screws, plates, or pins so that the bone can properly heal.

In conclusion, medical coders should have a clear understanding of the ICD 10 CM S59.131A code and how it applies to patients with SalterHarris type III physeal fractures of the upper end of the radius bone in the right arm. Proper diagnosis, treatment, and management of this condition are crucial to ensure the best possible outcome for the patient.