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Multiple fractures of pelvis with stable disruption of pelvic ring, subsequent encounter for fracture with delayed healing
ICD10CM code
#### Name of the Condition
- Multiple fractures of pelvis with stable disruption of pelvic ring, subsequent encounter for fracture with delayed healing
- ICD-10-CM Code: S32.810G
#### Summary
- This condition involves multiple fractures in the pelvic area where the structural ring of the pelvis remains stable. The "subsequent encounter" notation indicates that this is a follow-up appointment for fractures that are healing slower than expected, which can complicate recovery.
#### Causes
- Typically results from high-impact trauma such as motor vehicle accidents, falls from significant heights, or severe industrial accidents.
#### Risk Factors
- Advanced age, osteoporosis, high-contact sports, and previous injuries can increase the risk of sustaining pelvic fractures.
#### Symptoms
- Pain in the pelvic region, swelling, bruising, difficulty walking or standing, and possible abnormalities in leg length or alignment.
#### Diagnosis
- Physical examination, medical history evaluation, and imaging tests like X-rays, CT scans, or MRIs to assess the extent of fractures and stability of the pelvic ring.
#### Treatment Options
- Includes bed rest, pain management, physical therapy, and in some cases, surgical intervention to stabilize fractures. Treatment aims to ensure proper healing and restore mobility.
#### Prognosis and Follow-Up
- With proper treatment, most individuals recover fully, though healing may take longer due to delayed healing. Regular follow-ups are crucial to monitor healing progress and adjust treatment as needed.
#### Complications
- If untreated or poorly managed, complications could include chronic pain, reduced mobility, and improper healing leading to deformities.
#### Lifestyle & Prevention
- Maintain bone health through a balanced diet rich in calcium and vitamin D, regular weight-bearing exercises, and avoiding high-risk activities.
#### When to Seek Professional Help
- Persistent or worsening pain, inability to bear weight, or signs of infection such as fever or increased swelling should prompt immediate medical attention.
#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS): [aaos.org](https://www.aaos.org)
- Pelvic Support and Parental Support Groups
#### Tips for Medical Coders
- Ensure accurate documentation of the encounter type ("subsequent") and healing status ("delayed healing").
- Avoid coding errors by verifying the specific details of the fracture and healing progress before finalizing the code.