ICD-10-CM Billable Code

S85.142

Laceration of anterior tibial artery, left leg

Clinical Classification Guidelines

Medical Intelligence & Overview

A laceration of the anterior tibial artery is a medical condition involving a cut or tear in the artery that supplies blood to the front part of the lower leg. This type of injury often results from traumatic incidents such as accidents or falls. Recognized under the ICD-10 code S85.142, this diagnosis indicates that the laceration occurs on the left leg. Prompt diagnosis and treatment are essential to prevent complications like excessive bleeding or compromised blood flow to the leg muscles and tissues.

Causes & Symptoms

Clinical Causes: Trauma from accidents, falls, or impacts with sharp objects ◦ Sports injuries involving high contact or falls ◦ Motor vehicle accidents or collisions ◦ Penetrating injuries from knives, glass, or other sharp devices Surgical injuries or inadvertent damage during procedures

Key Symptoms: Severe pain in the front of the lower leg Swelling and tenderness around the injury site Bleeding that may be visible from the wound Weakness, numbness, or tingling in the foot or toes Decreased or absent pulse in the dorsalis pedis artery (indicating compromised blood flow) Discoloration or pallor of the affected leg Possible signs of shock in severe cases, such as dizziness or rapid heartbeat

Diagnostic & Treatment

Diagnosis Path: Doppler ultrasound to evaluate blood flow in the artery Ankle-brachial index measurement to compare blood flow in the affected leg Imaging studies such as computed tomography (CT) angiography or magnetic resonance angiography (MRA) to visualize vascular injury Direct visualization during surgical exploration if necessary

Treatment Protocols: Immediate application of pressure to control bleeding Transport to a medical facility for urgent evaluation Surgical repair of the artery, which may include suturing the laceration or bypass procedures Vascular surgery techniques to restore proper blood flow Wound cleaning and management to prevent infection Monitoring for signs of compartment syndrome or tissue death Additional supportive care, such as antibiotics or pain management

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 S85.142 a billable ICD-10 code?
Yes, S85.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S85.142?
Clinical documentation must specify the nature of Laceration of anterior tibial artery, left leg and any associated comorbidities for accurate reporting.

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