S62.323D Displaced fracture of shaft of third metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Name of the Condition

• Displaced fracture of shaft of third metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Summary

A displaced fracture of the shaft of the third metacarpal bone in the left hand, with routine healing, refers to a break in the middle portion of the bone where fragments are misaligned, and the fracture is progressing normally without complications. This code is used for follow-up care after the initial injury, indicating the fracture is healing as expected.

Causes

Direct trauma, such as a fall or blow to the hand. Sports-related injuries or accidents. Repetitive stress or overuse.

Risk Factors

• Participation in contact sports or high-impact activities.
• Reduced bone density or osteoporosis.
• Occupational hazards involving manual labor.

Symptoms

• Pain and swelling in the hand.
• Tenderness or bruising around the affected area.
• Difficulty moving the fingers or hand.
• Possible deformity or misalignment.

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, or deformity. Imaging tests, such as X-rays, to confirm the fracture and evaluate its extent.

Treatment Options

• Immobilization with a cast or splint to promote healing.
• Pain management using over-the-counter or prescription medications.
• Physical therapy to restore mobility and strength.
• Surgery may be required for severe or displaced fractures to realign the bone.

Prognosis and Follow-Up

Most fractures of the metacarpal shaft heal with proper treatment, and routine follow-up ensures alignment and healing progress. Patients may gradually resume normal activities as symptoms improve.

Complications

• Nonunion or delayed healing.
• Malunion, where the bone heals in a misaligned position.
• Stiffness or reduced range of motion.
• Infection (rare).

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health with adequate calcium and vitamin D.
• Avoid repetitive hand stress or overuse.

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or movement becomes more difficult. Contact a provider if signs of infection (e.g., redness, fever) appear.

Tips for Medical Coders

Use this code for subsequent encounters when the fracture is healing routinely. Document the fracture’s status (e.g., radiographic evidence of healing) and the reason for the encounter (e.g., follow-up, cast removal). Ensure the left-hand specification and "subsequent encounter" context are clearly recorded.