ICD 10 CM S62.234K | Description & Clinical Information

ICD 10 S62.234K describes a specific type of injury to the base of the thumb, or the proximal first metacarpal, resulting from trauma such as a forceful blow on a clenched fist, sports activities, fall on a thumb that is extended out, or motor vehicle accident, where the base of the thumb is broken into one or more parts, but with no misalignment of the fracture fragments, and the provider identifies this fracture as not represented by another code at a subsequent encounter for failure of the fracture fragments to unite.

Official Description Of S62.234K

The ICD 10 CM book defines ICD 10 code S62.234K as:

Other nondisplaced fracture of base of first metacarpal bone, right hand, subsequent encounter for fracture with nonunion
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 S62.234K

The diagnosis describes by the code ICD 10 CM S62.234K represents a nondisplaced fracture of the base of the first metacarpal bone of the right hand. This type of injury can result in various symptoms such as severe pain, swelling, tenderness, and bruising over the affected site. It may also cause difficulty in moving the hand, numbness, and tingling. In addition, the mishap can lead to deformity of the thumb and possible injury to nerves and blood vessels by bone fragments.

Medical providers diagnose this condition through several techniques. The first step is to review the patient’s medical history and conduct a physical examination. Providers often use imaging techniques such as X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans to assess the severity of the injury. Bone scans may also be necessary to determine the extent of the fracture. Other laboratory, electrodiagnostic, and imaging studies are essential if the provider suspects nerve or blood vessel injuries.

The treatment of this kind of fracture depends on the severity and location of the break. If the fracture is stable and closed, it may not require surgery. In contrast, unstable fractures require fixation, including the use of plates, wires, screws, or intramedullary nailing where necessary. Open fractures that involve a break in the skin require surgery to close the wound.

Physical therapy is crucial to improve the mobility of the affected hand and prevent stiffness. A limb immobilization device such as a splint, cast, or external fixation can stabilize the break while restricting limb movement. Providers usually prescribe analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain. Moreover, calcium and vitamin D supplements may improve bone strength and accelerate recovery.

Furthermore, the patients’ age, medical history, and overall health status are crucial factors influencing the course of treatment. The provider will work with the patient to develop an individualized treatment plan tailored to their specific needs.

In conclusion, ICD 10 CM S62.234K represents a nondisplaced fracture of the base of the first metacarpal bone of the right hand. The diagnosis requires a comprehensive approach that includes a patient’s medical history, physical examination, and imaging studies. Treatment usually involves surgery, immobilization of the limb, pain management, and physical therapy. Providers will further determine the appropriate course of treatment based on the patient’s individual needs and medical condition.

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