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2025 ICD-10-CM code S57.81XD

Crushing injury of the right forearm. This code applies to a subsequent encounter for the injury.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Use additional code to identify any retained foreign body, if applicable (Z18.-).

Medical necessity for subsequent encounters is established by the need for ongoing care and management of the crushing injury, including pain management, wound care, and rehabilitation.

A crushing injury of the right forearm can result in severe pain, bleeding, swelling, bruising, fracture, laceration, nerve injury, infection from an open wound, compartment syndrome, and damage to the blood vessels. Providers diagnose the condition based on the patient’s explanation of the event that caused the injury and the nature of the injury; physical examination with specific attention to the wound, sensation, reflexes, and vascular structures; imaging techniques such as X–rays, magnetic resonance imaging, and computed tomography for fracture and soft tissue damage; and laboratory examination of the blood to assess for blood loss. Treatment options include control of bleeding, cleaning and repairing any open wound to avoid infection; application of appropriate topical medication; stabilization of the affected part to prevent movement; analgesics and nonsteroidal anti–inflammatory drugs for pain and antibiotics for infection if present, tetanus prophylaxis if appropriate; and surgery depending on the extent of damage.

In simple words: A crushing injury of the right forearm happens when the forearm is crushed by something heavy or squeezed between two objects. It can cause an open wound, broken bones, and injuries to blood vessels, nerves, and muscles in the forearm. This code is used when someone is seen by a doctor again after the initial injury.

Crushing injury of the right forearm refers to an injury in which the forearm is crushed by a heavy weight or squeezed between two objects, and results in an open wound; fracture of bones; and injury to blood vessels, nerves, and surrounding muscles of the forearm. This code applies to a subsequent encounter for the injury.

Example 1: A patient presents for a follow-up visit after sustaining a crush injury to their right forearm in a motor vehicle accident two weeks prior. The patient is experiencing ongoing pain and limited range of motion., A patient initially treated in the emergency room for a crushing injury to the right forearm presents to their primary care physician for follow-up care and wound check., A patient who sustained a crushing injury to the right forearm during a work-related accident is seen by an occupational health physician for ongoing management of the injury.

Documentation should include the details of the initial injury, the patient's current symptoms, the findings of any physical examination or imaging studies, and the treatment plan.

** The code S57.81XD is exempt from the Present on Admission (POA) reporting requirement.

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