S62.357D Nondisplaced fracture of shaft of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing

Name of the Condition

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

Summary

A nondisplaced fracture of the shaft of the fifth metacarpal bone in the left hand, with routine healing, refers to a break in the midsection of the bone connecting the little finger to the wrist where the bone fragments remain aligned and are healing as expected. This condition is documented during a follow-up encounter after the initial injury, indicating normal progress in recovery.

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 status.

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, nondisplaced fractures typically heal well, and most patients regain full function. Follow-up care ensures the fracture is healing as expected, and rehabilitation may be recommended to restore strength and mobility.

Complications

• Delayed healing or nonunion.
• Infection (if surgery is performed).
• Stiffness or reduced range of motion.
• Chronic pain.

Lifestyle & Prevention

• Use protective gear during sports or high-risk activities.
• Maintain bone health through a balanced diet and exercise.
• 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 provider if signs of infection (e.g., redness, fever) or new deformity occur.

Tips for Medical Coders

Document the fracture type (nondisplaced), location (shaft of fifth metacarpal, left hand), and healing status (routine healing) to support the code. Include details of the subsequent encounter and confirm no complications or delayed healing.