ICD 10 CM S63.251 | Description & Clinical Information

ICD 10 S63.251 describes a medical condition characterized by an unspecified dislocation of the left index finger, which occurs when the finger bones are displaced from their normal position at the joint due to trauma resulting from excessive, forcible bending of the joint beyond its normal range of motion, such as hyperflexion and hyperextension, or from a lateral dislocation caused by a forceful blow to the tip of the finger during sports or work activities, and in this case, the provider does not specify the nature or type of dislocation of the left index finger.

Official Description Of S63.251

The ICD 10 CM book defines ICD 10 code S63.251 as:

Unspecified dislocation of left index finger
Parent Code Notes: S63.2

Excludes2: subluxation and dislocation of thumb (S63.1-)

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 S63.251

The diagnosis described by ICD 10 CM S63.251 code pertains to the unspecified dislocation of the left index finger. Dislocation is a condition where a joint is displaced from its normal position due to injury or trauma. In the case of left index finger dislocation, the affected person may experience excruciating pain in the area. It can also result in joint deformity, loss of range of motion, inflammation, tenderness, and swelling.

Healthcare providers arrive at the diagnosis after taking into account the patient’s history of trauma and a physical examination, with particular attention to joint stability or instability, and neurovascular assessment. Providers also rely on radiologic imaging, particularly plain X-rays that require PA, lateral, oblique, or other views. If necessary, healthcare providers may order CT or MRI scans.

The treatment of the condition differs according to its severity. For most cases of dislocation, healthcare providers recommend the use of a splint or cast, or buddytaping to stabilize the joint. If the dislocation is more severe or unstable, reduction and fixation may be necessary to bring the joint back to its proper position.

Other treatment options that can be combined with reduction and fixation include the application of ice packs, elevation of the affected hand, rest, and medication such as analgesics and nonsteroidal anti-inflammatory drugs for pain relief.

While some dislocations may be treated with simple interventions such as immobilization and pain management, others require more invasive procedures such as surgery to reattach or stabilize the joint. It’s essential to note that immediate medical attention is necessary to prevent further damage or complications.

After receiving treatment, the patient is advised to follow up with the healthcare provider for regular checkups to monitor the healing process and prevent the development of other conditions related to dislocation.

In conclusion, the ICD 10 CM S63.251 diagnosis code describes the unspecified dislocation of the left index finger, which can cause severe pain, joint damage, and other complications. A prompt and accurate diagnosis, coupled with appropriate treatment, is crucial in managing the condition. Healthcare providers must ensure that their patients receive the necessary follow-up care to minimize the risk of future complications.

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