S62.036D Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist, subsequent encounter for fracture with routine healing

Name of the Condition

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

Summary

A nondisplaced fracture of the proximal third of the navicular (scaphoid) bone in the wrist is a break in the upper portion of one of the wrist's small bones, where the bone fragments remain in their normal alignment. This code applies to a subsequent encounter during the healing phase, indicating the fracture is progressing as expected without complications. Routine healing suggests 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
• Residual swelling or bruising around the wrist area
• Gradual improvement in range of motion or grip strength
• No new or worsening symptoms indicating complications

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. Additional tests may be used to check for nerve or ligament damage.

Treatment Options

• Immobilization with a cast or splint to stabilize the bone (if still required)
• Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) or other appropriate medications
• Physical therapy to restore range of motion and strength
• Monitoring for signs of delayed healing or complications

Prognosis and Follow-Up

Most nondisplaced fractures of the proximal third of the scaphoid bone heal well with proper immobilization and follow-up care. Routine healing typically occurs within 6–12 weeks, depending on the individual's age and overall health. Follow-up appointments may include repeat imaging to confirm healing progress and assess wrist function.

Complications

• Delayed union or nonunion of the fracture
• Avascular necrosis (loss of blood supply to the bone)
• Post-traumatic arthritis in the wrist joint
• Persistent pain or stiffness

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

• Increasing pain, swelling, or bruising
• New numbness or tingling in the hand or fingers
• Inability to move the wrist or grip objects
• Signs of infection, such as redness, warmth, or drainage at the injury site

Tips for Medical Coders

This code is used for a subsequent encounter (D) of a nondisplaced fracture of the proximal third of the navicular (scaphoid) bone in the unspecified wrist, with routine healing. Documentation should specify the fracture location, absence of displacement, and confirmation of routine healing. Ensure the encounter is coded as subsequent (not initial) and that the wrist side is documented as unspecified.