Diagnosis Code S33
Information for Medical Professionals
References found for the code S33 in the Index of Diseases and Injuries:
- 7th Characters: "With"
The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word “with” in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.
- The appropriate 7th character is to be added to each code from category S33
- Includes Notes: Includes Notes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- avulsion of joint or ligament of lumbar spine and pelvis
- laceration of cartilage, joint or ligament of lumbar spine and pelvis
- sprain of cartilage, joint or ligament of lumbar spine and pelvis
- traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
- traumatic rupture of joint or ligament of lumbar spine and pelvis
- traumatic subluxation of joint or ligament of lumbar spine and pelvis
- traumatic tear of joint or ligament of lumbar spine and pelvis
- Type 1 Excludes Notes: Type 1 Excludes Notes
A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
- obstetric damage to pelvic joints and ligaments (O71.6)
- Type 2 Excludes Notes: "And"
The word “and” should be interpreted to mean either “and” or “or” when it appears in a title.
- dislocation and sprain of joints and ligaments of hip (S73.-)
- strain of muscle of lower back and pelvis (S39.01-)
- Code Also: “Code also note”
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- any associated open wound
Information for Patients
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.
A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.
- Dislocated shoulder - aftercare
- Kneecap dislocation
- Kneecap dislocation - aftercare
- Nursemaid's elbow
Spine Injuries and Disorders
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include
- Conditions, such as ankylosing spondylitis and scoliosis
- Bone changes that come with age, such as spinal stenosis and herniated disks
Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
- Compression fractures of the back
- Spinal fusion
- Spine surgery - discharge
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Ankle sprain - aftercare
- Elbow sprain -- aftercare
- Foot sprain - aftercare
- Hamstring strain - aftercare
- Hip flexor strain -- aftercare
- Tendon repair
- Wrist sprain - aftercare