S93.421A Sprain of deltoid ligament of right ankle, initial encounter

ICD10CM code

#### Name of the Condition
- Sprain of Deltoid Ligament of Right Ankle
- Technical term: Deltoid Ligament Sprain

#### Summary
A sprain of the deltoid ligament of the right ankle refers to the overstretching or tearing of the deltoid ligament, located on the inner side of the ankle. This condition typically results in pain, swelling, and decreased mobility.

#### Causes
- Twisting or rolling of the ankle
- Sudden impacts or falls
- Sports-related injuries or accidents

#### Risk Factors
- Participating in sports that involve quick changes in direction or jumping
- Walking or running on uneven surfaces
- Wearing inappropriate footwear
- Having a prior ankle injury

#### Symptoms
- Pain and tenderness along the inner side of the ankle
- Swelling and bruising
- Limited range of motion
- Difficulty bearing weight on the affected ankle

#### Diagnosis
- Physical examination to assess swelling, range of motion, and pain location
- Imaging tests such as X-rays, MRI, or ultrasound to rule out fractures and assess ligament damage

#### Treatment Options
- Rest and immobilization to allow healing
- Ice application to reduce swelling
- Compression with an elastic bandage to minimize swelling
- Elevation of the ankle to decrease swelling
- Physical therapy to restore strength and flexibility
- Anti-inflammatory medications for pain relief

#### Prognosis and Follow-Up
- Most sprains heal within a few weeks with appropriate care.
- Follow-up appointments are essential to ensure proper healing and to prevent re-injury.

#### Complications
- Chronic ankle instability
- Persistent pain or swelling
- Increased risk of future ankle injuries

#### Lifestyle & Prevention
- Strengthening exercises for the ankle
- Use of supportive footwear
- Cautiousness when walking on uneven surfaces
- Wearing ankle braces during high-risk activities

#### When to Seek Professional Help
- Inability to bear weight on the ankle
- Severe pain or swelling
- Signs of a fracture or more severe injury

#### Additional Resources
- [American Orthopaedic Foot & Ankle Society](https://www.aofas.org)
- [Mayo Clinic - Ankle Sprain](https://www.mayoclinic.org)

#### Tips for Medical Coders
- Ensure coding specificity by confirming laterality (right ankle).
- Verify encounter type (initial) to correctly apply the code S93.421A.
- Avoid errors by cross-referencing details in patient documentation, such as encounter type and injury location.

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