S45.01
Laceration of axillary artery
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the axillary artery involves a tear or cut in one of the major blood vessels that supply blood to the shoulder and upper limb. This type of injury is serious because it can lead to significant blood loss, impaired blood flow, and other complications if not promptly treated. The axillary artery is a large artery located near the armpit (axilla), and damage to it can result from trauma, such as accidents or penetrating injuries. Recognizing the signs and seeking immediate medical care are crucial for effective recovery and to prevent life-threatening consequences.
Causes & Symptoms
Clinical Causes: Direct trauma from accidents, such as car crashes or falls Penetrating injuries, including stab or gunshot wounds Blunt force trauma due to sports injuries or assaults Iatrogenic injuries during surgical procedures or catheter insertions Severe fractures of the shoulder or upper arm that damage the artery
Key Symptoms: Sudden and severe pain around the shoulder and upper arm Rapid swelling or bruising in the affected area Bleeding that may be visible or internal, leading to pallor or cold extremities Weakness or numbness in the arm or hand Pale or mottled skin indicating compromised blood flow Loss of pulse or diminished pulse in the affected limb Possible signs of shock, such as dizziness, weakness, or rapid heartbeat
Diagnostic & Treatment
Diagnosis Path: Diagnosis of an axillary artery laceration typically involves a combination of physical examination and imaging tests. Medical providers will check for pulse, color, temperature, and sensation in the arm and hand. Imaging studies to confirm the injury may include:
Treatment Protocols: Treating a laceration of the axillary artery usually involves urgent surgical intervention to repair the damaged vessel. The primary goal is to control bleeding, restore blood flow, and prevent complications. Interventions may include:
Clinical Advice & FAQs
Billing Guidance
Is S45.01 a billable ICD-10 code?
Yes, S45.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S45.01?
Clinical documentation must specify the nature of Laceration of axillary artery and any associated comorbidities for accurate reporting.
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