S65.111
Laceration of radial artery at wrist and hand level of right arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the radial artery at the wrist and hand level refers to a cut or tear in the radial artery, one of the major arteries supplying blood to the hand. This injury typically occurs at the wrist or slightly above, affecting the right arm. It can result from accidents, falls, or sharp objects, and requires prompt medical attention to prevent complications such as excessive bleeding or ischemia (restricted blood flow). Recognizing the nature of this injury helps in understanding the importance of appropriate treatment and management.
Causes & Symptoms
Clinical Causes: Accidental cuts from knives or broken glass Industrial or workplace injuries involving sharp tools or machinery Falls onto sharp objects or uneven surfaces Crush injuries leading to tearing of the artery Bites from animals or humans that tear the arterial wall
Key Symptoms: Immediate, intense bleeding from the wrist or hand Visible laceration or tear in the skin at the injury site Swelling and tenderness near the wrist Weakness or numbness in the hand or fingers Paleness or coldness of the fingers due to reduced blood flow Pain that may radiate along the arm Dizziness or lightheadedness in severe cases due to blood loss
Diagnostic & Treatment
Diagnosis Path: Healthcare professionals diagnose this injury through a combination of physical examination and medical imaging. They will assess the extent of bleeding, examine the wound, and check for signs of compromised blood flow to the hand. Diagnostic tools such as Doppler ultrasound or angiography may be used to visualize blood flow and confirm the injury to the radial artery. Laboratory tests might also be performed to evaluate overall blood loss and related parameters.
Treatment Protocols: Treatment aims to control bleeding, repair the artery, and prevent complications. Common approaches include: - Immediate pressure application to control bleeding - Surgical repair of the radial artery, which may involve suturing the torn vessel or arterial grafting - Wound cleaning and disinfecting to prevent infection - Possible administration of antibiotics - Monitoring for signs of circulatory compromise or infection post-treatment - Rehabilitation and physical therapy, if necessary, to restore hand function In some cases, if the damage is extensive, alternative measures such as arterial bypass or flap procedures might be necessary. Prompt medical intervention is crucial to preserve hand function and prevent limb loss.
Clinical Advice & FAQs
Billing Guidance
Is S65.111 a billable ICD-10 code?
Yes, S65.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S65.111?
Clinical documentation must specify the nature of Laceration of radial artery at wrist and hand level of right arm and any associated comorbidities for accurate reporting.
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