Sprain of thyroid region
ICD-10 S13.5 is a billable code used to indicate a diagnosis of sprain of thyroid region.
A sprain of the thyroid region refers to an injury involving the ligaments and soft tissues surrounding the thyroid gland, typically resulting from trauma or excessive force applied to the neck area. This injury can occur due to various mechanisms, including sports injuries, falls, or motor vehicle accidents. Clinically, patients may present with localized pain, swelling, and tenderness in the anterior neck region, along with potential difficulty swallowing or speaking. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or CT scans to rule out associated injuries or complications. Management often involves conservative treatment, including rest, ice application, analgesics, and physical therapy. In severe cases, surgical intervention may be necessary to address any underlying structural damage. Complications can include chronic pain, restricted mobility, or, in rare cases, damage to the thyroid gland itself, leading to hormonal imbalances.
Acute care documentation must include a detailed account of the mechanism of injury, physical examination findings, and any imaging results.
Patients presenting with neck pain after a fall or collision, requiring immediate assessment and management.
Ensure that all relevant symptoms, such as dysphagia or hoarseness, are documented to support the diagnosis.
Operative reports should detail the surgical approach, findings, and any repairs made to the ligaments or surrounding structures.
Surgical intervention for severe sprains or associated injuries requiring stabilization.
Document any pre-existing conditions that may affect healing or recovery.
Used for initial evaluation of a sprain in the emergency department.
Document the history, examination findings, and treatment plan.
Emergency medicine providers should ensure comprehensive documentation to support the visit level.
The primary mechanism of injury for S13.5 is typically trauma to the neck area, which can occur from falls, sports injuries, or motor vehicle accidents.