S62.353D Nondisplaced fracture of shaft of third metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the third metacarpal bone in the left hand, with subsequent encounter for fracture with routine healing, refers to a break in the midsection of the bone connecting the middle finger to the wrist where the bone fragments remain aligned and are healing as expected. This code is used during follow-up visits after the initial injury to document ongoing care for a fracture that is progressing normally without complications.

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 (less common with nondisplaced fractures).

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 and healing progress.

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.
• Regular follow-up appointments to monitor healing.

Prognosis and Follow-Up

With proper immobilization and care, nondisplaced fractures of the metacarpal shaft typically heal well. Follow-up visits are important to ensure the fracture is healing as expected and to adjust treatment plans if needed. Most patients regain full function of the hand over time.

Complications

• Delayed healing or nonunion.
• Malunion (healing in an abnormal position).
• Stiffness or reduced range of motion.
• Infection (rare).

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid repetitive hand stress or overuse.
• Practice safe techniques for manual labor or exercise.

When to Seek Professional Help

Seek medical attention if pain worsens, swelling increases, or new symptoms like numbness or discoloration develop. Follow up with a healthcare provider as scheduled to monitor healing progress.

Tips for Medical Coders

Document the fracture type (nondisplaced), location (shaft of third metacarpal, left hand), and encounter type (subsequent with routine healing) to support accurate coding. Include details on imaging results, immobilization use, and follow-up care to justify the code selection. Ensure documentation reflects the fracture’s healing status and any ongoing treatment.