ICD 10 CM S62.146A | Description & Clinical Information

ICD 10 S62.146A describes a type of fracture in the hamate bone of the wrist, which is a wedge-shaped carpal bone located on the same side of the wrist as the little finger, that occurs without any misalignment of the fracture fragments due to high impact trauma from causes such as falling on an outstretched hand, a forceful direct blow to the wrist, dislocation of the wrist, or sports activities, and it is important to note that the provider has not documented whether the nondisplaced hamate bone fracture involves the right or left wrist at this initial encounter for a closed fracture not exposed by a tear or laceration in the skin.

Official Description Of S62.146A

The ICD 10 CM book defines ICD 10 code S62.146A as:

Nondisplaced fracture of body of hamate [unciform] bone, unspecified wrist, initial encounter for closed 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 S62.146A

The diagnosis describes by the ICD 10 CM S62.146A code refers to a specific type of wrist injury that involves the hamate bone. This type of injury is known as a nondisplaced fracture, as it does not cause any shifts or misalignments in the bone. However, it can still lead to a range of painful symptoms, including tenderness on palpation, swelling, bruising, and difficulty moving the wrist.

Diagnosis is typically based on a combination of the patient’s medical history, physical examination, and imaging tests. Lateral view X-rays are often used to diagnose this condition, along with computed tomography and ultrasound imaging, particularly in children. Other laboratory and imaging studies such as magnetic resonance imaging (MRI) or bone scintigraphy may be ordered by the provider if they suspect nerve or blood vessel damage.

Treatment options for this type of injury depend on the severity of the fracture. Stable and closed fractures rarely require surgery, as they can heal on their own with the help of non-invasive treatment methods. However, unstable fractures may require fixation to stabilize the bone, while open fractures may require surgery to close the wound.

In addition to medical intervention, patients with a nondisplaced fracture of the hamate bone can also try non-invasive treatment options. Immobilization with a wrist brace or splint may be recommended to keep the wrist stable while it heals. Patients may also use ice packs to reduce swelling and alleviate pain. Exercises to improve strength and range of motion may be suggested to help patients regain mobility in the affected wrist.

Patients with this type of injury may also be prescribed medication such as pain relievers and nonsteroidal anti-inflammatory drugs (NSAIDs) to help manage pain and reduce inflammation. Repeated X-rays are often used to monitor the healing process and ensure the wrist is healing properly.

Overall, a nondisplaced fracture of the hamate bone can be a painful and inconvenient injury to deal with. However, with proper medical care and support, patients can make a full recovery and regain the use of their wrist. It is important to seek immediate medical attention for any wrist pain or injury to ensure an accurate diagnosis and appropriate treatment plan.

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