ICD 10 CM S62.133B | Description & Clinical Information

ICD 10 S62.133B describes a specific type of wrist fracture, namely a displaced fracture of the capitate, which is the largest carpal bone in the middle of the row closest to the hand, resulting from trauma caused by various factors such as a direct blow sustained during a fall, a forceful push with an extended wrist, falling onto an outstretched hand, or a motor vehicle accident, and although capitate fractures are relatively rare and account for only about 2% of all wrist fractures, they can be quite serious and require prompt medical attention, and in this particular case, the provider has not specified whether the fracture involves the right or left wrist during the initial encounter for an open fracture that is exposed through a tear or laceration of the skin caused by the displaced fragments or external trauma.

Official Description Of S62.133B

The ICD 10 CM book defines ICD 10 code S62.133B as:

Displaced fracture of capitate [os magnum] bone, unspecified wrist, initial encounter for open fracture
Parent Code Notes: S62.1

Excludes2: fracture of scaphoid of wrist (S62.0-)

Parent Code Notes: S62

Excludes1: traumatic amputation of wrist and hand (S68.-)

Excludes2: fracture of distal parts of ulna and radius (S52.-)

When To Use S62.133B

The diagnosis describes by ICD-10-CM S62.133B pertains to a displaced fracture of the capitate bone of an unspecified wrist. This type of injury can be caused by a fall or direct impact to the wrist. Typical symptoms include tenderness on palpation over the palm side of the wrist, swelling, bruising, and painful wrist movement.

Healthcare providers diagnose this injury by taking the patient’s medical history and conducting a physical examination. They may also use imaging techniques to confirm the diagnosis, such as lateral view X-rays or computed tomography. In children, ultrasound imaging may also be used. If there is suspicion of nerve or blood vessel injuries, other laboratory and imaging studies, such as MRI or bone scintigraphy, may be necessary.

Treatment for this type of injury varies depending on the severity of the fracture. For stable and closed fractures, surgery is typically not required, and immobilization with a wrist brace can be effective. However, unstable fractures may require surgery to fixate the bone, whereas open fractures may require surgery to heal the wound. Physical therapy is often recommended to strengthen the wrist and regain mobility.

In addition to medical treatment, patients can take steps to manage their symptoms at home. Applying an ice pack can help reduce swelling and alleviate pain. Over-the-counter pain relievers, such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs), can also be helpful.

Regular follow-up exams with a healthcare provider are essential to ensure that the wrist is healing properly. Repeated X-rays are often used to monitor progress and assess the need for continued treatment.

In summary, the diagnosis code for a displaced capitate bone fracture of an unspecified wrist is ICD-10-CM S62.133B. This type of injury can cause significant pain and discomfort, and prompt medical attention is necessary for proper treatment and management. Patients can expect a range of treatment options, including surgery, immobilization, and physical therapy, and can take steps at home to manage symptoms. Regular follow-up exams are essential to ensure full recovery.

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