M89.13
Physeal arrest, forearm
Clinical Classification Guidelines
Medical Intelligence & Overview
Physeal arrest of the forearm occurs when the growth plates in the bones of the forearm become dormant or stop growing. These growth plates are areas of developing cartilage tissue near the ends of long bones in children and adolescents. When they close prematurely or don't develop properly, it can affect the final length and shape of the bones, leading to potential deformities or discrepancies in limb length. This condition is particularly relevant in pediatric populations, as it impacts normal growth patterns and can influence future arm function and appearance.
Causes & Symptoms
Clinical Causes: Trauma or fracture involving the growth plate Infections affecting the growth plate Bone tumors or cysts near the growth region Congenital conditions that impair normal growth Radiation therapy targeting the growth plates Certain medical procedures or surgeries near the growth region
Key Symptoms: Unequal length between the forearm bones or deformity Limited mobility or stiffness in wrist or forearm Pain or tenderness at the affected site Visible abnormality or swelling near the growth plate In some cases, no obvious symptoms until noticeable deformity develops
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of physical examination, patient history, and imaging studies. X-rays are the primary tools for visualizing the state of the growth plates, assessing closure or arrest. MRI scans may be used for more detailed imaging if the cause is unclear or if soft tissue involvement is suspected. Evaluating growth patterns over time can help determine the progression of the condition, especially in growing children.
Treatment Protocols: Treatment options aim to address deformities, prevent further growth disturbances, and improve function. They include:
Clinical Advice & FAQs
Billing Guidance
Is M89.13 a billable ICD-10 code?
Yes, M89.13 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M89.13?
Clinical documentation must specify the nature of Physeal arrest, forearm and any associated comorbidities for accurate reporting.
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