T87.34 Neuroma of amputation stump, left lower extremity

ICD10CM code

#### Name of the Condition
- Neuroma of amputation stump, left lower extremity
- Also known as amputation stump neuroma

#### Summary
A neuroma of the amputation stump occurs when nerve tissue grows into a tumor-like structure at the site of an amputation, affecting the left lower extremity. This condition can cause pain and discomfort in the affected area.

#### Causes
- Typically caused by nerve trauma due to amputation surgery.
- The regenerating nerve fibers can form into a mass, known as a neuroma, at the amputation site.

#### Risk Factors
- History of traumatic limb amputation.
- Inadequate surgical management of nerve tissue during amputation.
- Prosthetic-related irritation or poorly fitting prosthetic devices.

#### Symptoms
- Sharp, burning, or tingling pain at the amputation stump.
- Sensitivity to touch or pressure.
- Phantom limb sensations or persistent discomfort in the affected area.

#### Diagnosis
- Physical examination to assess pain and sensitivity.
- Imaging studies such as ultrasound or MRI to identify the neuroma.
- Patient history review to correlate with surgery and symptoms.

#### Treatment Options
- Medications like pain relievers or antidepressants to manage symptoms.
- Physical therapy to alleviate pain and improve functioning.
- Injection therapies such as nerve blocks.
- Surgical removal of the neuroma in severe cases to relieve pain.

#### Prognosis and Follow-Up
- Outcomes vary depending on the severity of the neuroma and effectiveness of treatment.
- Regular follow-up is essential to adjust treatment plans and assess the stump condition for ongoing care.

#### Complications
- Chronic pain and continued discomfort.
- Difficulty with prosthetic use or mobility.
- Emotional or psychological impact due to persistent pain and disability.

#### Lifestyle & Prevention
- Ensure proper prosthetic fitting and maintenance.
- Engage in regular physical therapy to strengthen the residual limb.
- Maintain open communication with healthcare providers about stump conditions and prosthesis-related issues.

#### When to Seek Professional Help
- Persistent or worsening pain at the amputation stump.
- New symptoms like swelling, redness, or increased sensitivity.
- Difficulty in prosthetic use or mobility.

#### Additional Resources
- The Amputee Coalition (amputee-coalition.org) for patient support and resources.
- National Institutes of Health (nih.gov) for medical research and information.

#### Tips for Medical Coders
- Ensure the correct limb and laterality are identified as left lower extremity.
- Verify the cause of the condition is related to the amputation stump.
- Be aware of coding differentiation between neuromas in different locations and types.

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