S58.119
Complete traumatic amputation at level between elbow and wrist, unspecified arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A complete traumatic amputation of the arm between the elbow and wrist is a severe injury where the arm has been entirely severed at a level between these two joints. This kind of injury typically results from high-impact accidents, such as industrial machinery mishaps or falls from significant heights. Recognizing the gravity of this injury highlights the importance of immediate medical attention and the need for specialized care to manage both physical and emotional impacts.
Causes & Symptoms
Clinical Causes: Workplace accidents involving heavy machinery or powered tools Falls from significant heights leading to limb trauma Motor vehicle or motorcycle collisions Explosive injuries or blast exposures Severe crushing injuries from heavy objects
Key Symptoms: Complete loss of limb function on the affected arm Visible severed limb or stump at the injury site Excessive bleeding from the amputation site Pain or a sensation of throbbing in the remaining limb or stump Swelling and bruising around the injury area Possible damage to nearby nerves, blood vessels, and bones Signs of shock, such as pale skin, rapid heartbeat, and dizziness
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily based on physical examination and the patient’s history of injury. Healthcare professionals will assess the level of amputation, surrounding tissue damage, and bleeding. Imaging studies such as X-rays may be utilized to evaluate bone injury and confirm the extent of tissue damage. Additional tests might be necessary if further injury to the nerves, blood vessels, or other structures is suspected.
Treatment Protocols: Immediate management focuses on controlling bleeding, preventing shock, and preserving the remaining limb’s health. The medical team might perform various interventions, including:
Clinical Advice & FAQs
Billing Guidance
Is S58.119 a billable ICD-10 code?
Yes, S58.119 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S58.119?
Clinical documentation must specify the nature of Complete traumatic amputation at level between elbow and wrist, unspecified arm and any associated comorbidities for accurate reporting.
Cite this Clinical Reference