ICD 10 CM S63.494D | Description & Clinical Information

ICD 10 S63.494D describes a specific medical condition in which there is a traumatic rupture of the ligament in the right ring finger at the metacarpophalangeal and interphalangeal joint, resulting from the tearing or pulling apart of the fibrous bands of tissue that connect the finger bones and joints, and this condition is identified by the healthcare provider during a subsequent encounter and is not represented by any other code in this category.

Official Description Of S63.494D

The ICD 10 CM book defines ICD 10 code S63.494D as:

Traumatic rupture of other ligament of right ring finger at metacarpophalangeal and interphalangeal joint, 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 S63.494D

The diagnosis describes by the ICD 10 CM S63.494D code refers to a specific type of traumatic injury that affects the ligament of the ring finger at the metacarpophalangeal and interphalangeal joint on the right hand. This type of injury can result from a direct impact or force applied to the finger, such as during athletic activities, falls, or accidents involving machinery.

The symptoms of this condition typically involve pain, swelling, and bruising of the finger, with limited range of motion and an inability to move the finger at the affected joint. Patients may also experience tingling or numbness in the fingers, or a sensation of weakness in the surrounding muscles.

Providers commonly diagnose the condition by first taking a detailed medical history of the patient, asking about the type and timing of the injury, any other symptoms they may be experiencing, and any previous hand or finger injuries or surgeries. A thorough physical examination of the affected finger is also performed, with close attention paid to the neurovascular status of the finger, which can help to rule out more serious injuries.

In some cases, diagnostic imaging techniques such as ultrasound, magnetic resonance imaging (MRI), or computed tomography (CT) scans may be used to obtain more detailed information about the extent of the injury, the location of the ligament tear, and the presence of any associated injuries or complications.

Treatment options for this condition depend on the severity of the injury and the patient’s overall health and activity level. Initially, pain medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to alleviate pain and swelling, and bracing or splinting may be used to immobilize the joint and protect the ligament as it heals.

In more severe cases or in cases where conservative treatments are not effective, surgical repair may be necessary to reattach or reconstruct the damaged ligament. This procedure is typically performed by an orthopedic hand surgeon or a hand surgery specialist and involves making a small incision in the affected area, identifying the damaged ligament, and repairing it using specialized surgical techniques and materials.

Recovery from a traumatic ligament injury to the fingers can be a lengthy process and may require physical therapy or rehabilitation to restore range of motion, strength, and flexibility to the affected joint. Patients may also need to make certain lifestyle modifications or adaptations to protect the injured finger and prevent future injuries.

In conclusion, the ICD 10 CM S63.494D diagnosis code accurately describes a specific type of traumatic injury that affects the ligament of the ring finger at the metacarpophalangeal and interphalangeal joint on the right hand. Through careful evaluation and treatment, patients can expect to recover from this injury and regain function and movement in their affected fingers.

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