S65.191
Other specified injury of radial artery at wrist and hand level of right arm
Clinical Classification Guidelines
Medical Intelligence & Overview
ICD-10 code S65.191 refers to an injury to the radial artery at the wrist and hand level on the right arm. The radial artery is a major blood vessel that supplies blood to the thumb, index finger, and part of the hand. Injuries to this artery can vary in severity but often require medical attention to prevent complications such as bleeding, infection, or impaired circulation. This classification covers injuries that are specifically identified and documented but do not fall under more specific categories.
Causes & Symptoms
Clinical Causes: Blunt trauma from falls or accidents Lacerations or cuts from sharp objects like knives or glass Penetrating injuries caused by gunshot or stab wounds Medical procedures or surgeries that inadvertently damage the artery Sports injuries involving impact or twisting of the wrist
Key Symptoms: Pain at the site of injury on the wrist or hand Swelling or bruising around the injured area Bleeding if the artery is partially or completely severed Diminished blood flow causing pallor or coldness in the hand or fingers Numbness or tingling sensations due to disrupted blood supply or nerve involvement Weak or absent pulse in the radial artery on the affected side
Diagnostic & Treatment
Diagnosis Path: Visual inspection and palpation for swelling, bruising, or bleeding Checking the pulse in the affected wrist to assess blood flow Doppler ultrasound to visualize blood flow and detect vascular injuries X-ray imaging to rule out associated fractures or bone injuries Angiography in complex cases to pinpoint the exact location and extent of arterial damage
Treatment Protocols: Applying pressure to control bleeding and stabilize the injury Wound cleaning and disinfecting to prevent infection Surgical repair or ligation of the damaged artery if necessary Vascular procedures like bypass or grafting in severe cases Use of immobilization for fractures or associated injuries Post-treatment monitoring for signs of compromised blood flow or infection
Clinical Advice & FAQs
Billing Guidance
Is S65.191 a billable ICD-10 code?
Yes, S65.191 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S65.191?
Clinical documentation must specify the nature of Other specified injury of radial artery at wrist and hand level of right arm and any associated comorbidities for accurate reporting.
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