ICD 10 CM S63.420S | Description & Clinical Information

ICD 10 S63.420S describes a specific medical condition that involves the traumatic rupture of the palmar ligament of the right index finger at the metacarpophalangeal and interphalangeal joint, which occurs when the fibrous bands of tissue connecting the finger bones and joints are torn or pulled apart due to some form of physical trauma, and this code is used to identify the sequela, or the condition that results from the initial injury.

Official Description Of S63.420S

The ICD 10 CM book defines ICD 10 code S63.420S as:

Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint, sequela
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 S63.420S

The diagnosis describes by the ICD-10-CM code S63.420S refers to a specific type of injury to the palmar ligament of the right index finger. This type of injury results from a traumatic rupture at the metacarpophalangeal and interphalangeal joint. The injury can lead to pain, swelling, bruising of the ligament, restrict range of motion, and inability to flex or extend the finger at the affected joint.

Medical providers diagnose the condition by assessing the patient’s medical history and conducting a thorough physical examination with particular attention to the evaluation of neurovascular status. Imaging techniques such as ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT) scans may also be used to aid in diagnosis.

The primary goal of treating traumatic rupture of the palmar ligament is to alleviate the patient’s pain and prevent further damage. Treatment options typically include non-invasive measures such as pain medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs). The use of bracing or splinting to immobilize the joint may be necessary in some cases.

In more severe cases, surgical treatment may be recommended. The decision to pursue surgery depends on the severity of the injury, the overall health of the patient, and the patient’s desired outcome. The surgical repair of the palmar ligament may involve suturing or using other medical devices to help support and stabilize the joint.

The recovery time for a palmar ligament injury typically depends on the severity of the injury and the type of treatment utilized. Rest, immobilization, and physical therapy to help restore motion and function to the affected finger are the standard methods of care.

It is important to note that the ICD-10-CM code S63.420S is specific to a traumatic rupture of the palmar ligament in the right index finger. Other types of injuries or conditions affecting different fingers or different parts of the hand would require a different diagnosis code.

In conclusion, palmar ligament injuries can be painful and debilitating for patients. Prompt diagnosis and appropriate treatment are crucial for the best possible outcome. Through the correct use of the ICD-10-CM code S63.420S, medical providers can accurately document and report this type of injury, facilitating the provision of the most appropriate care for their patients.

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