Localized swelling, mass and lump, right upper limb
ICD-10 R22.31 is a billable code used to indicate a diagnosis of localized swelling, mass and lump, right upper limb.
R22.31 refers to localized swelling, mass, or lump specifically in the right upper limb. This condition can manifest as a palpable mass or swelling that may be associated with various underlying causes, including infections, tumors, hematomas, or inflammatory processes. The right upper limb encompasses the shoulder, arm, forearm, wrist, and hand, and swelling in this area can result from trauma, overuse, or systemic conditions such as arthritis. Clinical evaluation typically involves a thorough history and physical examination, focusing on the characteristics of the mass (size, tenderness, mobility), associated symptoms (pain, redness, warmth), and any recent injuries or infections. Imaging studies such as ultrasound or MRI may be warranted to assess the nature of the mass, while laboratory tests can help identify underlying infections or inflammatory markers. Accurate coding requires careful documentation of the clinical findings and any relevant diagnostic tests performed.
Detailed history of present illness, physical examination findings, and any relevant lab results.
Patients presenting with unexplained swelling in the right arm, possibly due to systemic conditions like rheumatoid arthritis or localized infections.
Consideration of comorbidities that may affect swelling, such as heart failure or renal disease.
Acute care documentation including mechanism of injury, vital signs, and immediate treatment provided.
Acute trauma leading to swelling or hematoma formation in the right upper limb.
Rapid assessment and documentation of any life-threatening conditions that may present with similar symptoms.
When imaging is performed to evaluate the cause of swelling.
Document the reason for imaging and findings.
Ensure that the imaging is relevant to the clinical presentation.
Document the location, size, characteristics of the swelling or mass, any associated symptoms, and results of diagnostic tests.
