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2025 ICD-10-CM code S63.501A

Unspecified sprain of right wrist, initial encounter.

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

Documentation should support the medical necessity of the services provided. This might include a description of the functional limitations caused by the injury, the treatment plan, and the expected outcome.

In simple words: This code represents an unspecified sprain of the right wrist, meaning the exact location or type of sprain is not specified. It is used for the initial visit or encounter for this injury. A sprain is the stretching or tearing of ligaments, which are the tough bands of tissue that connect bones.Symptoms might include pain, swelling, bruising, tenderness, stiffness, and limited movement.

Unspecified sprain of the right wrist. This code applies to the initial encounter.

Example 1: A patient falls on an outstretched right hand and experiences immediate pain and swelling in the wrist. The physician diagnoses an unspecified sprain of the right wrist, as the specific ligament involved is not yet determined. This is the patient's first visit for this injury., A basketball player injures their right wrist during a game. The initial examination reveals pain and limited range of motion, leading to a diagnosis of an unspecified right wrist sprain. Further imaging may be needed to determine the precise nature of the sprain., A patient presents with right wrist pain after lifting a heavy object. The physician diagnoses an unspecified sprain. This is the initial encounter for this condition, and further evaluation may be required to classify the sprain more specifically.

Details of the injury, including mechanism (e.g., fall, twisting), location of pain and swelling, impact on range of motion, and any associated symptoms.If imaging studies are performed, reports should be included.

** The code describes an unspecified sprain, indicating a lack of further specification about the type of sprain or the specific ligament(s) involved.

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