ICD 10 CM S63.101D | Description & Clinical Information

ICD 10 S63.101D describes a medical condition characterized by partial displacement of the right thumb, which can be caused by a variety of traumatic events such as hyperextension injuries, falls, or motor vehicle accidents, and is classified as unspecified subluxation due to the lack of specific documentation by the provider, with this code being applicable to subsequent encounters.

Official Description Of S63.101D

The ICD 10 CM book defines ICD 10 code S63.101D as:

Unspecified subluxation of right thumb, subsequent encounter
Parent Code Notes: S63

Includes: avulsion of joint or ligament at wrist and hand level
laceration of cartilage, joint or ligament at wrist and hand level
sprain of cartilage, joint or ligament at wrist and hand level
traumatic hemarthrosis of joint or ligament at wrist and hand level
traumatic rupture of joint or ligament at wrist and hand level
traumatic subluxation of joint or ligament at wrist and hand level
traumatic tear of joint or ligament at wrist and hand level

Excludes2: strain of muscle, fascia and tendon of wrist and hand (S66.-)

Code also: any associated open wound

When To Use S63.101D

The diagnosis describes by ICD-10-CM S63.101D code pertains to an unspecified subluxation of the right thumb. A subluxation is a condition in which the bones in the joint move out of their normal position, causing pain, instability, and a decrease in the range of motion. This code is used when the provider is unable to specify the exact location of the subluxation.

The symptoms of an unspecified subluxation of the right thumb can vary depending on the severity of the injury but commonly include pain, swelling, inflammation, tenderness, and joint instability. Additionally, vascular or neurological complications and a partial or complete rupture of the ligaments or tendon can occur in more severe cases.

The patient’s medical history, as well as a physical examination, are two of the primary methods used to diagnose the condition. During a physical examination, the provider will assess the extent of the injury and evaluate for possible neurovascular impairment. Imaging techniques such as x-rays and CT scans may also be ordered by the provider to confirm the diagnosis and rule out other possible conditions.

The treatment options for an unspecified subluxation of the right thumb depend on the severity of the condition. Minor cases can often be treated with manual reduction, in which the provider manipulates the bones back into their normal position using their hands. A sling, splint, or soft cast may also be used to immobilize the thumb and promote healing.

In more severe cases, surgical intervention may be required to repair the damaged joint. The type of surgery needed will depend on the extent of the injury, and the patient’s overall health. Pain relief medications, such as analgesics and nonsteroidal anti-inflammatory drugs, may be prescribed to manage the symptoms of the condition.

Recovery from an unspecified subluxation of the right thumb can take anywhere from a few weeks to several months, depending on the severity of the injury and the extent of the treatment required. Physical therapy or occupational therapy may also be recommended to help with the recovery process and to strengthen the muscles and joints back to their normal level of functionality.

In conclusion, an unspecified subluxation of the right thumb can cause significant pain and joint instability. Medical providers utilize the ICD-10-CM S63.101D code to diagnose this condition, which can be treated through manual manipulation, surgical repair, medication, or immobilization. Patients experiencing symptoms of a thumb subluxation should seek medical attention immediately to prevent long-term complications.

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