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Unspecified injury of muscle, fascia and tendon of pelvis, initial encounter

ICD10CM code

Name of the Condition

  • Common name(s): Pelvic Injury
  • Medical term: Unspecified injury of muscle, fascia, and tendon of the pelvis, initial encounter

Summary

An unspecified injury to the muscles, fascia, and tendons of the pelvis involves damage whose exact nature is not defined during the initial medical encounter. These injuries can manifest as pain or functional limitations in the pelvic region.

Causes

  • Trauma from accidents or falls
  • Sports-related injuries
  • Sudden or intense physical activities

Risk Factors

  • Participation in high-impact sports
  • Occupational hazards that involve heavy lifting
  • Poor physical conditioning or lack of flexibility

Symptoms

  • Pain or tenderness in the pelvic area
  • Swelling or bruising
  • Limited range of motion or difficulty in movement

Diagnosis

  • Physical examination
  • Patient history assessment
  • Imaging tests such as X-rays, MRI, or CT scans to rule out specific injuries

Treatment Options

  • Rest and activity modification to allow healing
  • Application of ice packs to reduce swelling
  • Over-the-counter pain relievers like NSAIDs
  • Physical therapy to restore function and strength
  • In severe cases, surgical intervention may be necessary

Prognosis and Follow-Up

  • With appropriate treatment, most minor injuries heal within a few weeks.
  • Regular follow-ups are essential to monitor recovery and prevent complications.
  • Persistent pain or functional limitations may require further intervention.

Complications

  • Chronic pain or instability in the pelvic region
  • Development of scar tissue affecting mobility
  • Risk of recurring injuries

Lifestyle & Prevention

  • Engage in regular physical activity with proper warm-ups to enhance flexibility and strength
  • Use protective gear when engaging in sports or physically demanding tasks
  • Maintain a healthy weight to alleviate stress on pelvic structures

When to Seek Professional Help

  • Severe or worsening pain
  • Inability to bear weight or move properly
  • Signs of infection such as fever and increased redness or swelling

Additional Resources

  • American Physical Therapy Association (APTA)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
  • Local sports medicine or orthopedic clinics

Tips for Medical Coders

  • Verify if the injury is specific or unspecified to code accurately.
  • Ensure the encounter is indeed initial to use the correct code extension 'A.'
  • Double-check for additional codes that might specify associated injuries.

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