T84.126A Displacement of internal fixation device of bone of right lower leg, initial encounter

ICD10CM code

#### Name of the Condition
- Displacement of Internal Fixation Device of Bone of Right Lower Leg
- ICD-10 Code: T84.126A

#### Summary
- This condition occurs when an internal fixation device, such as a rod, plate, or screw, used to stabilize a fracture in the right lower leg, becomes dislocated or malpositioned. This typically requires initial medical intervention to correct and stabilize the device.

#### Causes
- Physical trauma or injury to the leg post-surgery.
- Inadequate surgical placement of the device.
- Excessive physical activity or movement before the bone is healed.
- Material fatigue or failure of the fixation device itself.

#### Risk Factors
- Participation in high-impact sports or activities post-surgery.
- Insufficient post-operative care or lack of adherence to recovery guidelines.
- Osteoporosis or other bone-weakening conditions.
- Previous surgeries or complications in the area.

#### Symptoms
- Swelling, pain, or tenderness around the surgical site.
- Sensation of instability or movement in the area of the fracture.
- Visible protrusion or movement of surgical hardware.
- Limited mobility or inability to bear weight on the leg.

#### Diagnosis
- Physical examination focusing on the surgical site and surrounding area.
- Imaging tests such as X-rays, MRI, or CT scans to visualize the position of the fixation device.
- Patient history review of recent activities or accidents.

#### Treatment Options
- Non-surgical interventions like immobilization or restricted activity if minor displacement is detected.
- Surgical repositioning or replacement of the fixation device to ensure proper alignment and stability.
- Physical therapy post-intervention to aid recovery and restore function.
- Sometimes, removal of the device if the fracture has adequately healed.

#### Prognosis and Follow-Up
- With timely intervention, most people can recover successfully, though severity varies with the level of displacement.
- Regular follow-up visits to monitor healing and adjust treatment plans.
- Frequent imaging and assessments to ensure device stability and bone healing.

#### Complications
- Potential for non-union or malunion of the bone if not addressed properly.
- Increased risk of infection at the surgical site.
- Further injury or damage to surrounding nerves and tissues.

#### Lifestyle & Prevention
- Following post-operative instructions diligently, including activity restrictions and care protocols.
- Engaging in recommended rehabilitation and physical therapy practices.
- Ensuring proper nutrition to support bone health and healing.

#### When to Seek Professional Help
- Sudden increase in pain, swelling, or redness around the surgery site.
- Any new or unusual sensations indicating movement or instability.
- Changes in skin color or temperature around the affected area.
- Fever or signs of systemic infection.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons (AAOS)](https://www.aaos.org/)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)](https://www.niams.nih.gov/)
- Local support groups for individuals recovering from orthopedic surgeries.

#### Tips for Medical Coders
- Confirm the correct side and type of device involved in the displacement.
- Ensure accurate distinction between initial encounter and subsequent visits.
- Avoid coding errors by double-checking the condition and device descriptor specificity.

Similar Codes