S63.420
Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint
Clinical Classification Guidelines
Medical Intelligence & Overview
A traumatic rupture of the palmar ligament of the right index finger involves a tear in one of the key ligaments on the palm side of the finger. This injury occurs at the metacarpophalangeal (knuckle) and interphalangeal (middle joint) areas. It often results from a sudden force or trauma, such as a direct blow or a sudden twist, leading to pain and compromised finger function. The condition is classified under ICD-10 code S63.420, indicating an acute injury to the ligament structures of the finger. Proper diagnosis and management are essential for restoring finger stability and function, and preventing long-term complications.
Causes & Symptoms
Clinical Causes: Sports injuries, such as catching or hitting the finger during contact sports Falling onto an outstretched hand or finger Direct trauma from accidents involving a blunt object or impact Sudden twisting or hyperextension of the finger during physical activity Crushing injuries from heavy objects or machinery Falls or slips that apply force to the finger joint
Key Symptoms: Sudden onset of sharp pain in the affected finger Swelling around the joint area Tenderness when touching or moving the finger Limited range of motion, especially during extension or flexion Inability to fully straighten or bend the finger A feeling of instability or looseness in the joint Bruising or discoloration around the injury site
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination focusing on swelling, tenderness, and joint stability. The healthcare provider may perform specific movements to assess ligament integrity. Imaging tests like X-rays can help rule out fractures, while MRI scans provide detailed images of soft tissue structures, confirming the presence and extent of ligament rupture. Precise diagnosis is crucial for determining the appropriate treatment plan.
Treatment Protocols: Treatment approaches aim to reduce pain, restore finger stability, and prevent long-term dysfunction. Common options include:
Clinical Advice & FAQs
Billing Guidance
Is S63.420 a billable ICD-10 code?
Yes, S63.420 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S63.420?
Clinical documentation must specify the nature of Traumatic rupture of palmar ligament of right index finger at metacarpophalangeal and interphalangeal joint and any associated comorbidities for accurate reporting.
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