S62.034A Nondisplaced fracture of proximal third of navicular [scaphoid] bone of right wrist, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Nondisplaced fracture of the proximal third of navicular [scaphoid] bone of right wrist, initial encounter for closed fracture
- Also known as: Scaphoid fracture, wrist fracture, navicular fracture

#### Summary
A nondisplaced fracture of the scaphoid bone in the wrist is a type of fracture where the bone is cracked but has not shifted out of place. This type of fracture commonly occurs due to a fall onto an outstretched hand and can be painful, requiring careful treatment to heal properly and prevent complications.

#### Causes
- Direct trauma from a fall onto an outstretched hand
- High-impact activities or accidents, such as sports injuries or car accidents

#### Risk Factors
- Engaging in high-impact or contact sports
- Osteoporosis or weakened bones 
- Previous fractures or wrist injuries

#### Symptoms
- Pain and swelling in the wrist, particularly on the thumb side
- Tenderness when pressing on the scaphoid bone area
- Reduced range of motion or difficulty gripping objects

#### Diagnosis
- Physical examination of the wrist for tenderness and movement limitations
- Imaging tests such as X-rays, MRI, or CT scans to confirm the fracture and its nondisplaced nature

#### Treatment Options
- Immobilization with a cast or splint to allow the bone to heal
- Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs)
- In some cases, surgery may be needed if the bone does not heal properly with immobilization alone

#### Prognosis and Follow-Up
- Most nondisplaced scaphoid fractures heal well with proper care and immobilization
- Regular follow-up appointments are essential to monitor healing through imaging and adjust treatment as necessary

#### Complications
- Delayed healing or non-union of the bone if not properly treated
- Avascular necrosis due to compromised blood supply to the bone
- Chronic pain or stiffness in the wrist

#### Lifestyle & Prevention
- Use protective gear during sports or high-risk activities
- Strengthening exercises for wrists to improve bone health
- Avoiding falls by maintaining a safe environment and good balance

#### When to Seek Professional Help
- Persistent wrist pain or swelling after an injury
- Increased pain or movement limitation despite treatment

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS) website: [aaos.org](https://www.aaos.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): [niams.nih.gov](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the correct laterality (right wrist) is coded
- Verify that the encounter is initial and for a closed fracture to use the "A" seventh character correctly
- Double-check the ICD-10 code matches the specific fracture type and location

- Common coding errors to avoid include confusing with an open fracture or incorrect laterality.

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