S63.280
Dislocation of proximal interphalangeal joint of right index finger
Clinical Classification Guidelines
Medical Intelligence & Overview
Dislocation of the proximal interphalangeal (PIP) joint of the right index finger occurs when the bones forming this middle joint of the finger are displaced from their normal alignment. This type of injury often results from trauma or a direct blow, leading to pain, swelling, and limited movement in the affected finger. The PIP joint plays a crucial role in finger mobility and dexterity, making injuries here significant for hand function.
Causes & Symptoms
Clinical Causes: A direct blow or impact to the finger during sports, accidents, or falls Sudden twisting or hyperextension of the finger Crushing injuries or crushing pressure on the finger Accidental trauma during physical activities or work-related tasks Falls onto the hand or finger, especially when catching oneself
Key Symptoms: Immediate pain at the site of injury Visible deformity or misalignment of the finger Swelling and tenderness around the PIP joint Limited or inability to move the affected finger Bruising or discoloration of the finger and surrounding area A feeling of instability or the finger feeling 'loose' Possible numbness or tingling if nerves are affected
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a clinical examination by a healthcare professional who assesses the physical presentation of the finger and assesses joint stability. Imaging techniques such as X-rays are often used to confirm the dislocation, determine if there are any associated fractures, and evaluate the extent of the injury. Proper diagnosis is essential for planning treatment and ensuring effective recovery.
Treatment Protocols: The primary treatment for a dislocated PIP joint involves a realignment or reduction of the joint to restore normal anatomy. This procedure is usually performed by a trained healthcare provider under local anesthesia or sedation. Post-reduction, the following management strategies are common:
Clinical Advice & FAQs
Billing Guidance
Is S63.280 a billable ICD-10 code?
Yes, S63.280 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S63.280?
Clinical documentation must specify the nature of Dislocation of proximal interphalangeal joint of right index finger and any associated comorbidities for accurate reporting.
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