S62.016G Nondisplaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with delayed healing

Name of the Condition

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

Summary

A nondisplaced fracture of the distal pole of the navicular (scaphoid) bone in the unspecified wrist involves a break in the lower portion of this small wrist bone without displacement of the fragments. This code is used for a subsequent encounter when the fracture is healing more slowly than expected. The scaphoid plays a key role in wrist stability and movement, so delayed healing requires careful monitoring and management.

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

• Persistent pain and tenderness localized to the wrist, especially near the base of the thumb.
• Swelling and bruising around the wrist area that may not resolve as expected.
• 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 evaluate healing progress. Comparison with prior imaging may be used to assess delayed healing.

Treatment Options

Treatment focuses on promoting healing and may include extended immobilization, activity modification, or additional imaging to rule out complications. In some cases, surgical intervention may be considered if healing does not progress.

Prognosis and Follow-Up

Prognosis depends on the extent of delayed healing and adherence to treatment. Regular follow-up appointments and imaging are typically required to monitor progress. Most fractures eventually heal, but delayed healing may extend recovery time.

Complications

• Nonunion (failure of the fracture to heal).
• Avascular necrosis (loss of blood supply to the bone).
• Chronic pain or arthritis in the wrist.
• Persistent decreased range of motion.

Lifestyle & Prevention

• Avoid high-risk activities until cleared by a healthcare provider.
• Use protective gear during sports or activities with a fall risk.
• Maintain bone health through proper nutrition and exercise.

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or if there is new numbness or tingling. Prompt evaluation is important if healing does not progress as expected.

Tips for Medical Coders

Use this code for a subsequent encounter when a nondisplaced fracture of the distal pole of the navicular bone is healing slowly. Document the delayed healing and any related clinical findings to support the code. Ensure the encounter is classified as "subsequent" and not initial or acute.