ICD 10 CM S59.149A | Description & Clinical Information

ICD 10 S59.149A describes a specific type of fracture known as a Salter-Harris Type IV physeal fracture, which occurs in the upper end of an unspecified radius, the larger of the two bones in the forearm, on the thumb side of the forearm, and is characterized by a vertical break through the bone shaft and growth plate that extends down through the central portion of the bone to its end part, resulting in the detachment of a piece of bone, and is typically caused by sudden or blunt trauma, such as a motor vehicle accident, sports activities, falls, or an assault, and is more commonly seen in children; however, the provider has not documented whether the condition affects the right or left radius at the initial encounter for a closed fracture.

Official Description Of S59.149A

The ICD 10 CM book defines ICD 10 code S59.149A as:

When To Use S59.149A

The diagnosis describes by the ICD-10-CM S59.149A code is a specific type of physeal fracture occurring at the distal end of the radius bone in the arm, which is classified as a Salter-Harris type IV fracture. This fracture results from the displacement of the epiphyseal plate, which is the region where growth occurs in the bone.

Patients with this type of injury typically experience pain directly at the site of the fracture, along with a host of other symptoms. Swelling, bruising, warmth, stiffness, tenderness, and muscle spasm are all common indicators of this type of fracture. Additionally, patients may experience nerve-related symptoms such as numbness, tingling, and even loss of function in the affected arm. Over time, without proper medical attention, the affected limb may appear crooked or be of unequal length when compared to the opposite arm.

Physicians typically diagnose this type of injury based on a careful physical examination of the patient, which includes assessing the affected arm for signs of bruising, swelling, and tenderness. Additionally, imaging techniques are utilized to determine the extent of the damage sustained by the arm. Commonly used imaging techniques include X-rays, CT scans, and MRIs.

Treatment options for individuals diagnosed with an S59.149A injury include both non-invasive and invasive procedures. Among the non-invasive treatments available are medications such as analgesics, corticosteroids, muscle relaxants, and NSAIDs. Patients may also be prescribed thrombolytic or anticoagulant medication to reduce the risk of blood clots, which can increase the risk of further damage to the injured arm. In addition to these medications, rest, application of ice, compression, and elevation of the affected part are also common treatments used to reduce swelling and pain. Calcium and vitamin D supplements may also be prescribed to help improve bone strength during the healing process.

In more severe cases, patients may require a splint or cast to immobilize the affected limb to prevent further injury and promote healing. Surgical intervention, in the form of open reduction and internal fixation (ORIF), may also be necessary in certain cases. ORIF is a procedure where surgical manipulation and implantation of hardware is used to realign and stabilize the fractured bone.

Overall, proper diagnosis and prompt treatment are crucial for individuals with an S59.149A injury. By following medical advice and adhering closely to their treatment plan, patients can experience a successful recovery and return to a normal quality of life.