S63: Dislocation and sprain of joints and ligaments at wrist and hand level

ICD10 code S63 refers to Dislocation and sprain of joints and ligaments at wrist and hand level, commonly resulting from trauma, falls, or accidents affecting the wrist, hand, or fingers, critical for immediate assessment and follow-up care.

Symptoms

• Bruising or abrasions on the wrist, hand, or fingers – S60
• Open cuts exposing soft tissues – S61
• Fractures of carpal, metacarpal, or phalangeal bones – S62
• Joint dislocations or ligament sprains – S63
• Nerve injuries causing numbness or loss of function – S64
• Arterial or venous damage in the hand region – S65
• Muscle, tendon, or fascia tears – S66
• Severe crush injuries – S67
• Traumatic amputations of fingers or parts of the hand – S68
• Other complex injuries at hand level – S69

Diagnosis

Assessment involves clinical examination, X-rays, CT scans, and sometimes MRI to evaluate bone, soft tissue, nerve, and vascular damage comprehensively.

ICD10 Code Usage

S63 is widely used in emergency medicine, orthopedic surgery, physical therapy documentation, workers' compensation claims, and legal medical reports.

Related Codes

• S60 – Superficial injury of wrist, hand and fingers
• S61 – Open wound of wrist, hand and fingers
• S62 – Fracture at wrist and hand level
• S64 – Injury of nerves at wrist and hand level
• S65 – Injury of blood vessels at wrist and hand level
• S66 – Injury of muscle, fascia and tendon at wrist and hand level
• S67 – Crushing injury of wrist, hand and fingers
• S68 – Traumatic amputation of wrist, hand and fingers
• S69 – Other and unspecified injuries of wrist, hand and finger(s)

FAQs

Q1: What injuries fall under ICD10 code S63?
A: It captures trauma affecting the wrist, hand, and fingers, including fractures, sprains, and lacerations.

Q2: How are hand fractures diagnosed?
A: Typically using X-rays, though CT scans are used for complex fracture patterns.

Q3: How serious is a crush injury to the fingers?
A: It can range from mild soft tissue damage to severe cases requiring surgical reconstruction or amputation.

Q4: What is the recovery time for nerve injuries in the hand?
A: Recovery varies by severity; minor injuries may heal in weeks, while major injuries may need surgery and rehabilitation.

Q5: When is surgical intervention required for hand injuries?
A: Open fractures, severe dislocations, significant tendon or nerve injuries often require urgent surgical repair.

Conclusion

Accurate documentation with ICD10 code S63 ensures optimal management, proper billing, and comprehensive reporting for injuries involving the wrist, hand, and fingers.