S62.035D Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Name of the Condition

Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist, subsequent encounter for fracture with routine healing

Summary

A nondisplaced fracture of the proximal third of the navicular (scaphoid) bone in the left wrist is a break in the upper portion of the scaphoid bone where the bone fragments remain in their normal alignment. This code is used for a subsequent encounter during the healing phase, indicating the fracture is progressing as expected without complications. Routine healing implies the fracture site is stable and following a typical recovery trajectory.

Causes

Direct trauma to the wrist, such as a fall onto an outstretched hand. High-impact injuries, including sports-related accidents or motor vehicle collisions.

Risk Factors

• Participation in contact sports or activities with a high risk of wrist injury
• Osteoporosis or weakened bone density
• Previous wrist fractures or ligament damage

Symptoms

• Mild to moderate pain and tenderness in the wrist, particularly on the thumb side
• Minimal swelling or bruising around the wrist area
• Gradual improvement in range of motion or grip strength
• No visible deformity or significant functional impairment

Diagnosis

Physical examination to assess pain, swelling, and wrist mobility. Imaging tests, such as X-rays, CT scans, or MRI, to confirm the fracture and evaluate displacement. Documentation should reflect routine healing, with no signs of delayed union, nonunion, or malunion.

Treatment Options

• Continued immobilization with a cast or splint if needed for stability
• Pain management with over-the-counter or prescription medications
• Physical therapy to restore range of motion and strength
• Regular follow-up imaging to monitor healing progress

Prognosis and Follow-Up

Prognosis is generally favorable with routine healing, as nondisplaced fractures often heal without surgery. Follow-up appointments are typically scheduled to assess progress, with imaging repeated if healing is delayed or symptoms persist. Most patients regain full function within 6–12 weeks, depending on the individual case.

Complications

• Delayed union or nonunion if healing is prolonged
• Avascular necrosis (loss of blood supply to the bone)
• Post-traumatic arthritis if the fracture affects joint alignment
• Persistent pain or stiffness if rehabilitation is incomplete

Lifestyle & Prevention

• Avoid high-impact activities until cleared by a healthcare provider
• Use wrist guards or protective equipment during sports
• Maintain bone health through adequate calcium and vitamin D intake
• Practice fall prevention strategies, especially in older adults

When to Seek Professional Help

Seek immediate medical attention if symptoms worsen, such as increased pain, swelling, or numbness. Contact a provider if there is no improvement in mobility or if the wrist feels unstable after immobilization.

Tips for Medical Coders

Use this code for a subsequent encounter when the fracture is healing routinely. Documentation must specify "routine healing" and confirm the fracture is nondisplaced. Ensure the encounter is not for active treatment of complications (e.g., infection, nonunion) or delayed healing, which would require a different code. Verify laterality (left wrist) and the specific anatomical location (proximal third of the navicular bone) in the medical record.