Find information on left wrist sprain diagnosis, including clinical documentation, medical coding, ICD-10 codes for left wrist sprain, and healthcare guidelines. Learn about symptoms, treatment, and differential diagnosis of left wrist sprains. This resource provides accurate medical information for healthcare professionals and patients seeking to understand left wrist sprain diagnosis and management. Explore details on left wrist pain, swelling, and instability, along with appropriate medical coding and documentation practices.
Also known as
Dislocations, sprains, and strains of wrist
Covers sprains and strains of wrist and hand joints.
Injuries to the wrist, hand and fingers
Includes various injuries like fractures, dislocations, and sprains.
Injury, poisoning and certain other consequences of external causes
Broad category encompassing injuries from various external causes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there a complete rupture of ligaments?
Yes
Which ligament(s)?
No
What is the severity?
When to use each related code
Description |
---|
Left Wrist Sprain |
Left Wrist Strain |
Left Wrist Contusion |
Coding lacks left wrist specificity. Use S63.502A for initial encounter.
Sprain grade/severity impacts code selection. CDI should query for details.
Traumatic vs. atraumatic sprain requires distinct ICD-10 codes. Review documentation.
Patient presents with complaints of left wrist pain and swelling following a fall onto an outstretched hand earlier today. The patient reports immediate onset of pain localized to the left wrist. Physical examination reveals tenderness to palpation over the lateral aspect of the left wrist, mild edema, and ecchymosis. Range of motion is limited due to pain with flexion, extension, and radial deviation. No crepitus is appreciated. Neurovascular examination of the hand is intact with normal capillary refill and sensation. Radiographs of the left wrist were obtained and are negative for fracture or dislocation, consistent with a left wrist sprain. Diagnosis: Left wrist sprain. Assessment includes wrist injury, acute pain, soft tissue injury, and limited range of motion. Plan includes RICE therapy (rest, ice, compression, elevation), over-the-counter NSAIDs for pain management such as ibuprofen, and a left wrist brace for support. Patient education provided regarding activity modification and follow-up care. Instructions to return if symptoms worsen or do not improve within one to two weeks. ICD-10 code S63.501A, unspecified sprain of left wrist, initial encounter.