S65.112
Laceration of radial artery at wrist and hand level of left arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the radial artery at the wrist and hand level, classified under ICD-10 code S65.112, refers to a cut or tear in the radial artery located in the region of the left arm, wrist, or hand. The radial artery is a major blood vessel that supplies blood to the forearm and hand. Injuries to this artery can result in significant bleeding and require prompt medical attention to prevent complications such as blood loss, ischemia, or infection.
Causes & Symptoms
Clinical Causes: Traumatic incidents such as falls that result in impact to the wrist or hand Sharp objects like knives, scissors, or broken glass causing cuts Motor vehicle accidents impacting the wrist area Occupational injuries, especially in construction, manufacturing, or mechanical settings Sports injuries involving falls or direct blows to the wrist Medical procedures that inadvertently damage the artery
Key Symptoms: Sudden, severe bleeding from the wrist or hand Pain and tenderness localized around the injury site Swelling and bruising in the affected area Numbness or tingling in the hand or fingers Weakness or decreased ability to move the fingers or wrist Palpable pulse in the radial artery that may be absent or diminished Signs of tissue damage or ischemia if blood flow is compromised
Diagnostic & Treatment
Diagnosis Path: Visual inspection of the wound to assess the extent of the cut and bleeding Palpation to check the presence and strength of the radial pulse Doppler ultrasound to evaluate blood flow and confirm injury to the artery Imaging techniques such as angiography if vascular injury is suspected or if blood flow needs detailed assessment Assessment of nerve function and tissue viability to determine the overall damage
Treatment Protocols: Immediate control of bleeding through direct pressure application Wound cleaning and disinfection to prevent infection Surgical repair, which may include suturing or ligation of the injured artery Application of a tourniquet if bleeding is uncontrollable and immediate surgical care is unavailable Administration of antibiotics to prevent infection Tetanus prophylaxis if necessary Monitoring for signs of ischemia or nerve damage Rehabilitation and physiotherapy after healing to restore hand and wrist function
Clinical Advice & FAQs
Billing Guidance
Is S65.112 a billable ICD-10 code?
Yes, S65.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S65.112?
Clinical documentation must specify the nature of Laceration of radial artery at wrist and hand level of left arm and any associated comorbidities for accurate reporting.
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