Displaced fracture of triquetrum [cuneiform] bone, left wrist, initial encounter for closed fracture. 2016 2017 2018 2019 2020 Billable/Specific Code. S62.112A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Short description: Unsp fracture of left wrist and hand, init for clos fx The 2020 edition of ICD-10-CM S62.92XA became effective on October 1, 2019. This is the American ICD-10-CM version of S62.92XA - other international versions of ICD-10 S62.92XA may differ.
traumatic amputation of wrist and hand ( S68.-) fracture of distal parts of ulna and radius ( S52.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
The triquetrum is the second most commonly fractured carpal bone after the scaphoid. Nondisplaced triquetral fractures usually heal well, without complication. 2. The triquetrum bone articulates with the lunate and resides deep to the pisiform.
A triquetral fracture happens when you break or crack the triquetrum, one of the 8 small carpal bones that form a part of your wrist.
wrist jointDescription. The triquetrum is one of eight carpal bones that forms part of the wrist joint. It is a pyramidal shaped bone that can be found in the medial side of the wrist. The name triquetrum is derived from the Latin word triquetrus which means "three-cornered".
733.82 - Nonunion of fracture.
A Triquetral fracture is a break of the Triquetral bone (sometimes called triquetrum). It is one of the eight small carpal bones in the wrist and the second most commonly fractured carpal. A sudden, direct impact is the most common cause, resulting in wrist pain on the little finger side.
Closed fracture (also called simple fracture). The bone is broken, but the skin is intact.
After scaphoid fractures, triquetral fractures are the second most common carpal fracture to present in the absence of additional injuries unrelated to the direct fracture mechanism [2].
The triquetrum is wedge-shaped carpal bone located between the lunate and the pisiform. It has an oval facet for articulation with the pisiform.
The triquetrum articulates with three bones: lunate, pisiform, and hamate. The lateral surface of the triquetrum is flat and articulates with the lunate, to which it is attached by the lunotriquetral ligament. The distal end faces laterally forming the sinuous, concave facet that articulates with the hamate bone.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
Nonunion and malunion fractures are identified with defective healing: nonunion describes the failure of a fractured bone to heal and mend after an extended period of time; malunion refers to a fracture that has healed in a deformed position, or with shortening or rotation of the limb.
When the visit is for the purpose of deciding what treatment is required to repair the fracture, it is an initial encounter. Likewise, when the visit results in a changed active plan of care, it is an initial encounter.
Mild triquetral fractures usually don't require surgery. Instead, your doctor will likely perform a procedure called a reduction. This involves gently moving your bones into their proper place without making an incision. While this is less invasive than surgery, it can be painful.
A broken hand can heal by itself. But without proper treatment, it's more likely to heal incorrectly. Specifically, the bones might not line up properly. This is known as a malunion.
Some people can still move or use the hand or wrist even if there is a broken bone. Swelling or a bone out of place can make the wrist appear deformed. There is often pain right around the break and with finger movement.
Treatment of an avulsion fracture typically includes resting and icing the affected area, followed by controlled exercises that help restore range of motion, improve muscle strength and promote bone healing. Most avulsion fractures heal very well without surgical intervention.