ICD 10 CM S63.630 | Description & Clinical Information
ICD 10 S63.630 describes a medical condition characterized by the stretching or tearing of the tissues that support the joint where the finger bones meet at the knuckle, specifically in the right index finger, caused by incidents such as falling on an outstretched hand, bending the finger backward or sideways, or forcefully twisting the finger.
Official Description Of S63.630
The ICD 10 CM book defines ICD 10 code S63.630 as:
Excludes1: traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) (S63.4-)
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 S63.630
The diagnosis describes by ICD-10-CM S63.630 pertains to a specific type of injury that affects the right index finger. This injury occurs when the interphalangeal joint of the finger suffers a sprain. A sprain is a type of injury that happens when the ligaments that support a joint are stretched or torn, usually due to excessive force being applied to the joint.
People who suffer from a sprain of the interphalangeal joint of the right index finger may experience several symptoms. These symptoms can range from mild to severe and can include pain, stiffness, restricted range of motion, joint deformity, swelling, bruising, inflammation, and tenderness in the affected joint.
To diagnose this condition, medical providers will typically begin by taking the patient’s medical history to determine if there has been any recent trauma or injury to the affected joint. A physical examination will then be performed to assess joint stability or instability. To confirm the diagnosis, plain X-rays may be taken, including PA, lateral, oblique, and other views.
If there is a concern that the injury is more serious, computed tomography (CT) scan or magnetic resonance imaging (MRI) may be ordered. These imaging tests can help to identify any damage to the ligaments or other surrounding structures and help physicians determine the best course of treatment.
Fortunately, most sprains can be treated without the need for surgery or other invasive procedures. Treatment options may include applying a splint or buddy taping to stabilize the joint and prevent further damage. Other treatment options may include applying an ice pack to the affected area to reduce swelling, elevating the hand to reduce swelling, and prescribing medications, such as analgesics, nonsteroidal anti-inflammatory drugs, and corticosteroids to help manage pain and inflammation.
It’s important to note that the specific treatment options prescribed by a medical provider will depend on the severity of the injury and the patient’s overall health and medical history. For example, patients who have a persistent deformity of the joint or who have difficulty using their hand may require a more aggressive treatment plan, such as physical therapy or corrective surgery.
In conclusion, the ICD-10-CM S63.630 diagnosis code refers to a sprain of the interphalangeal joint of the right index finger. This type of injury can cause a variety of symptoms that can range from mild to severe. Diagnosing and treating this type of injury typically involves a combination of a medical history, physical examination, and imaging tests. With proper treatment, most patients can expect to regain normal hand function within a few days to a few weeks.
