ICD-10-CM Billable Code

S44.31

Injury of axillary nerve, right arm

Clinical Classification Guidelines

Medical Intelligence & Overview

An injury to the axillary nerve in the right arm is a condition that affects the nerve responsible for sensation and movement in the shoulder area. This injury can result from trauma, such as a fall or direct blow, and may lead to weakness, numbness, or other issues in the shoulder and upper arm. Proper understanding of this injury helps in recognizing its signs and seeking appropriate medical attention.

Causes & Symptoms

Clinical Causes: Trauma or direct blow to the shoulder area Fractures of the humerus bone near the shoulder Shoulder dislocation Surgical procedures involving shoulder or humerus Overuse or repetitive shoulder movements Compression injuries from prolonged pressure on the nerve

Key Symptoms: Weakness in shoulder abduction and lateral rotation Numbness or tingling sensation over the deltoid muscle and outer shoulder Decreased ability to lift the arm sideways Pain in the shoulder region Muscle wasting in the shoulder area (in severe cases) Limited range of motion in the affected arm

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed medical history and physical examination. Healthcare providers may perform tests to assess nerve function, muscle strength, and sensation. Imaging techniques such as MRI or ultrasound may be used to visualize nerve injury or associated bone injuries. Electromyography (EMG) can help evaluate nerve and muscle function to confirm the diagnosis.

Treatment Protocols: Rest and immobilization of the shoulder to prevent further injury Physical therapy to strengthen shoulder muscles and improve mobility Pain management strategies such as medications or other interventions Surgical intervention in cases of nerve compression, severe injury, or associated fractures Nerve regeneration therapies in specific cases Regular follow-up to monitor recovery progress

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 S44.31 a billable ICD-10 code?
Yes, S44.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S44.31?
Clinical documentation must specify the nature of Injury of axillary nerve, right arm and any associated comorbidities for accurate reporting.

Cite this Clinical Reference