ICD-10-CM Billable Code

S58.911

Complete traumatic amputation of right forearm, level unspecified

Clinical Classification Guidelines

Medical Intelligence & Overview

A complete traumatic amputation of the right forearm refers to the total severing of the forearm due to an injury. This type of injury is often the result of severe accidents, such as industrial or vehicular incidents. The level of amputation is unspecified, indicating that the exact point of separation on the forearm has not been classified. This condition profoundly impacts mobility and daily activities, requiring specialized medical care and rehabilitation.

Causes & Symptoms

Clinical Causes: Industrial accidents involving machinery or equipment Motor vehicle collisions causing severe limb injury Falling from significant heights that result in limb trauma Injuries from weapons or assault Crush injuries from heavy objects

Key Symptoms: Complete loss of function in the affected arm Absence of the forearm or hand due to severing Severe bleeding at the injury site Swelling and bruising around the area Pain and shock due to trauma Potential nerve damage leading to numbness or tingling

Diagnostic & Treatment

Diagnosis Path: Diagnosis primarily involves physical examination of the injury and the complete absence of the forearm distal to the trauma site. Imaging tests such as X-rays can help determine the level of amputation and assess any associated injuries to bones or surrounding tissues. Medical professionals also evaluate blood flow and nerve function in the remaining limb and assess the extent of tissue damage. A detailed medical history and injury description assist in confirming the diagnosis and planning treatment.

Treatment Protocols: Treatment for a complete forearm amputation involves immediate emergency procedures to control bleeding and prevent shock. Surgical intervention includes cleaning and closing the wound, managing pain, and preventing infection. In some cases, replantation or limb salvage procedures are considered if the amputated segment is viable. Post-operative care involves wound management, physical therapy, and rehabilitation to maximize functionality with prosthetic devices. Psychological support may also be necessary to help patients cope with the emotional impact of limb loss.

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 S58.911 a billable ICD-10 code?
Yes, S58.911 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S58.911?
Clinical documentation must specify the nature of Complete traumatic amputation of right forearm, level unspecified and any associated comorbidities for accurate reporting.

Cite this Clinical Reference