ICD-10-CM Billable Code

S28.21

Complete traumatic amputation of breast

Clinical Classification Guidelines

Inclusion Terms

  • Traumatic amputation of breast NOS

Medical Intelligence & Overview

A complete traumatic amputation of the breast is a severe injury resulting from a sudden, forceful trauma that leads to the total removal or severing of the breast tissue. This type of injury, classified under ICD-10 code S28.21, generally occurs due to accidents or violent impacts, and requires immediate medical attention. While rare, understanding the causes, symptoms, and treatment options can provide clarity about this serious condition.

Causes & Symptoms

Clinical Causes: Motor vehicle accidents Industrial or workplace injuries Fights or violent assaults Falls from significant heights Explosive or blast injuries

Key Symptoms: Sudden intense pain in the chest or breast area Significant bleeding or hemorrhaging Visible detachment or severing of breast tissue Swelling and swelling-related discomfort Skin lacerations or puncture wounds Shock symptoms, such as dizziness or fainting Possible damage to underlying chest wall or muscles

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a complete traumatic amputation of the breast involves a physical examination by a healthcare professional, who will assess the extent of tissue damage and bleeding. Imaging studies like ultrasound or X-rays may be utilized to evaluate underlying structures and rule out additional injuries to the chest wall, ribs, or lungs. Medical history details about the injury event are also crucial for a comprehensive assessment.

Treatment Protocols: Treatment strategies focus on controlling bleeding, preventing infection, and managing tissue damage. Initial management may involve:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S28.21 a billable ICD-10 code?
Yes, S28.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S28.21?
Clinical documentation must specify the nature of Complete traumatic amputation of breast and any associated comorbidities for accurate reporting.

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