ICD-10-CM Billable Code

S62.131

Displaced fracture of capitate [os magnum] bone, right wrist

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the capitate bone, located in the middle of the wrist, occurs when the bone breaks and the fragments move out of their normal position. The capitate, also known as os magnum, plays a vital role in wrist movement and stability. This injury typically results from trauma or high-impact incidents, like falls or sports injuries, and requires prompt attention to ensure proper healing. Recognizing the symptoms and understanding the causes can facilitate early diagnosis and treatment.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched hand High-impact sports injuries (e.g., basketball, skateboarding, football) Car accidents resulting in wrist trauma Direct blow to the wrist during physical altercations or accidents Twisting injuries from falls or abrupt wrist movements

Key Symptoms: Sudden and intense pain in the wrist area Swelling and tenderness over the dorsal (back) side of the wrist Deformity or irregularity in wrist shape indicating displacement Limited range of motion and stiffness Difficulty or inability to move or bear weight on the affected wrist Bruising around the wrist A grinding sensation or weakness when attempting to grasp objects

Diagnostic & Treatment

Diagnosis Path: To confirm a displaced fracture of the capitate, healthcare providers will typically perform a physical examination and imaging tests. X-rays are the primary diagnostic tool to visualize the fracture and assess the degree of displacement. In some cases, additional imaging such as CT scans may be recommended for detailed visualization of the bone fragments and assessment of the extent of injury. Proper diagnosis is crucial for planning effective treatment strategies.

Treatment Protocols: Managing a displaced capitate fracture generally involves several key steps, tailored to the severity and specifics of the injury: - Immobilization: Using a cast or splint to keep the wrist stable and facilitate healing. - Reduction: If the fracture fragments are significantly displaced, a procedure called reduction may be performed to realign the bones; this can be closed (non-surgical) or open (surgical). - Surgery: Often necessary for displaced fractures, surgery involves fixing the bone fragments using pins, screws, or plates. - Rehabilitation: Post-treatment, physical therapy helps restore strength, mobility, and function in the wrist. - Pain management: Use of analgesics or anti-inflammatory medications as prescribed. Recovery time varies depending on the severity of the fracture and the treatment approach, but it generally involves several weeks of immobilization followed by rehabilitation exercises.

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 S62.131 a billable ICD-10 code?
Yes, S62.131 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.131?
Clinical documentation must specify the nature of Displaced fracture of capitate [os magnum] bone, right wrist and any associated comorbidities for accurate reporting.

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