ICD 10 CM S59.199A | Description & Clinical Information

ICD 10 S59.199A describes a type of fracture that occurs in the growth plate, or physis, of the larger bone in the forearm, specifically on the thumb side, which is typically seen in children under the age of 15 and is caused by trauma such as a forceful blow or fall on an extended arm, as well as certain medical conditions like low levels of growth hormone or exposure to radiation, and while the provider can identify the specific type of physeal fracture, it is important to note that the code does not specify whether the fracture occurred on the left or right radius during the initial encounter for a closed fracture that is not exposed through a tear or laceration of the skin.

Official Description Of S59.199A

The ICD 10 CM book defines ICD 10 code S59.199A as:

When To Use S59.199A

The diagnosis describes by the ICD 10 CM S59.199A code is a specific type of physeal fracture of the upper end of the radius that is not classified under any other code. This injury can cause localized pain, swelling, inflammation, tenderness, and the inability to bear weight on the affected arm. Additionally, the injury can lead to a reduction in range of motion and an early end to epiphyseal growth.

One of the potential consequences of this type of injury is shortening of the hands and arms, as well as the development of a bone bridge with deformity. Moreover, reduced muscle tone can result in a slowdown in daily activities.

Medical professionals use various techniques to diagnose this condition. They start with taking the patient’s personal history of trauma and then perform a physical examination to assess the injury. This includes palpating the entire region as well as a thorough neurovascular assessment of the nerves and blood supply.

Medical professionals also use imaging techniques such as X-rays, computed tomography, or CT scans, and magnetic resonance imaging or MRI, to determine the extent of damage. In some cases, laboratory examinations may also be necessary.

Treatment options for this condition vary depending on the severity of the injury. These can include growth hormone injections, such as somatotropin, medications like analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs or NSAIDs. Thrombolytics or anticoagulants may also be prescribed to reduce the risk of blood clots.

Calcium and vitamin D supplements can also be used to improve bone strength, while the use of slings, splints, and soft casts can help immobilize the affected area, preventing further damage and promoting healing. Rest, the application of ice, compression, and elevation of the affected part can also help reduce swelling.

Physical therapy is often used to improve the range of motion and muscle strength of the affected area and prevent any potential stiffness. In some cases, surgical treatment may be required to realign the growth plate, lengthen the bones, or insert an interposition graft between the growth plate and bone. Conversely, a bone bridge may require removal.

Finally, for stable and closed fractures, surgical intervention is unlikely. However, for unstable fractures, fixation is necessary, and open fractures require surgical open reduction and internal fixation, or ORIF.

Overall, the ICD 10 CM S59.199A diagnosis code is a specific type of injury that can lead to long-term complications if left untreated. Proper diagnosis and treatment are crucial in preventing any potential long-term effects of the injury. By understanding this condition, medical professionals can provide the best possible care to their patients.