S62.355D Nondisplaced fracture of shaft of fourth metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the fourth 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 ring finger to the wrist where the bone fragments remain aligned and are healing as expected. This code is used for follow-up care after the initial injury, indicating the fracture 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.

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

With proper treatment, most nondisplaced fractures heal within 6–8 weeks. Follow-up care ensures the fracture is healing as expected, and physical therapy may be recommended to restore full function. Routine healing indicates no complications, but ongoing monitoring is important to confirm progress.

Complications

• Delayed healing or nonunion.
• Malunion (improper healing).
• Chronic pain or stiffness.
• Nerve or tendon damage (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.

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or mobility does not improve. Contact a healthcare provider if signs of infection (e.g., redness, fever) or new deformity occur.

Tips for Medical Coders

Document the encounter as a subsequent visit for fracture care with routine healing. Include details confirming the fracture is healing without complications, such as clinical notes or imaging reports. Ensure the code aligns with the specific anatomical location (fourth metacarpal, left hand) and the healing status (routine healing).