S62.014D Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with routine healing

Name of the Condition

• Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, subsequent encounter for fracture with routine healing

Summary

A nondisplaced fracture of the distal pole of the navicular (scaphoid) bone in the right wrist involves a break in the lower portion of this small, critical wrist bone where the bone fragments remain in their normal alignment. This code represents a subsequent encounter for fracture with routine healing, indicating the fracture is progressing as expected without complications. The scaphoid plays a key role in wrist stability and movement, and proper healing is essential to maintain function.

Causes

Typically results from a fall onto an outstretched hand (FOOSH). Can also occur due to direct trauma to the wrist, such as a blow or impact. May involve twisting injuries or high-force activities that stress the wrist.

Risk Factors

• Participation in contact sports or activities with a high risk of falls.
• Osteoporosis or weakened bone structure, particularly in older adults.
• Previous wrist injuries or fractures that may compromise bone integrity.

Symptoms

• Pain and tenderness localized to the wrist, especially near the base of the thumb.
• Swelling and bruising around the wrist area.
• Decreased range of motion or difficulty gripping objects.
• Possible numbness or tingling if nerves are affected.

Diagnosis

Physical examination to assess pain, swelling, and wrist mobility. Imaging tests, such as X-rays, CT scans, or MRI, to visualize the fracture and confirm routine healing. Documentation should reflect the fracture's status as nondisplaced and healing without complications.

Treatment Options

• Immobilization: Wearing a cast or splint for several weeks to support healing.
• Pain management: Medications to reduce discomfort and inflammation.
• Physical therapy: Exercises to restore strength and range of motion once healing is advanced.
• Monitoring: Regular follow-up to ensure proper healing progress.

Prognosis and Follow-Up

With appropriate treatment, most nondisplaced fractures of the distal pole of the scaphoid heal well. Follow-up care typically includes periodic imaging to confirm healing and functional recovery. Return to normal activities depends on the individual's healing rate and adherence to treatment recommendations.

Complications

• Delayed union or nonunion if healing is prolonged.
• Avascular necrosis (loss of blood supply to the bone) in severe cases.
• Chronic pain or stiffness if healing is incomplete.
• Nerve or tendon irritation from prolonged immobilization.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid falls by improving balance and home safety measures.
• Strengthen wrist muscles through targeted exercises to reduce injury risk.

When to Seek Professional Help

Seek immediate care if pain worsens, swelling increases, or new numbness/tingling develops. Contact a healthcare provider if the wrist does not improve with treatment or if there are signs of infection (e.g., redness, fever).

Tips for Medical Coders

Document the fracture as nondisplaced and specify the subsequent encounter for routine healing. Include details on imaging results, treatment provided, and follow-up status to support accurate coding. Ensure the right wrist and distal pole of the navicular (scaphoid) bone are clearly identified in clinical notes.