ICD 10 CM S63.041D | Description & Clinical Information

ICD 10 S63.041D describes a condition in which the joint between the first metacarpal or hand bone of the thumb and the trapezium, or carpal bone of the wrist, is partially displaced due to trauma such as a fall or motor vehicle accident, and this code is used for subsequent encounters.

Official Description Of S63.041D

The ICD 10 CM book defines ICD 10 code S63.041D as:

When To Use S63.041D

The diagnosis describes by ICD-10-CM code S63.041D pertains to a medical condition known as subluxation of the carpometacarpal joint of the thumb. This condition develops when the ligaments responsible for holding the bones forming the carpometacarpal joint of the thumb in place partially dislocate or become displaced altogether.

Patients with subluxation of the carpometacarpal joint of the thumb commonly experience pain in the affected area, which can be aggravated by movement. A loss of range of motion in the thumb and forefinger, coupled with swelling, inflammation, tenderness, and wrist instability may also be present due to the partial dislocation. In severe cases, fractures, vascular or neurological complications, and partial or complete rupture of the ligaments or tendon may occur.

To diagnose this condition, health care providers typically obtain the patient’s medical history and perform a physical examination. Imaging studies such as X-rays, CT scans, and magnetic resonance imaging may also be necessary to provide a more accurate diagnosis. Laboratory examinations, such as blood tests, may also be necessary to identify any underlying medical conditions that may have contributed to the onset of subluxation.

Treating subluxation of the carpometacarpal joint of the thumb usually involves a combination of medications, immobilization with a splint, and surgical reduction and internal fixation if required. Analgesics are used to manage pain, while immobilization of the affected thumb with a splint helps to prevent further movement that can cause additional damage to the joint. In some cases, surgical intervention may be necessary to realign and stabilize the bone structures of the joint.

Overall, the diagnosis code S63.041D is useful for medical coders, health care providers, and insurance companies to accurately identify and document cases of subluxation of the carpometacarpal joint of the thumb. Proper diagnosis and treatment of this condition can help patients regain mobility, alleviate pain, and prevent long-term complications.