S62.635B Displaced fracture of distal phalanx of left ring finger, initial encounter for open fracture

ICD10CM code

#### Name of the Condition
- Displaced fracture of distal phalanx of left ring finger, initial encounter for open fracture.
- ICD Code: S62.635B

#### Summary
A displaced fracture of the distal phalanx of the left ring finger refers to a type of bone break where the broken pieces have shifted out of alignment at the tip of the finger. This specific encounter is described as an "open fracture," meaning the bone has broken through the skin.

#### Causes
This condition is typically caused by traumatic injuries, such as accidents involving a crush injury, a fall directly onto the fingertip, or a direct blow to the finger with a hard object.

#### Risk Factors
- Participation in high-risk activities or sports that involve high-impact or repetitive force.
- Occupational hazards for jobs involving manual labor or machinery.
- Pre-existing conditions like osteoporosis that weaken the bones.

#### Symptoms
- Severe pain and swelling in the fingertip.
- Visible deformity or misalignment of the finger.
- Bleeding or an open wound at the site of fracture.
- Limited range of motion or inability to move the finger.

#### Diagnosis
- Physical examination of the finger by a healthcare provider.
- Imaging tests such as X-rays to determine the extent and specific type of fracture.

#### Treatment Options
- **Reduction**: Realigning the bone fragments if necessary.
- **Immobilization**: Using a splint or cast to keep the finger stable during healing.
- **Surgery**: Required in severe cases to properly align and stabilize the fracture with pins or screws.
- **Antibiotic Therapy**: To prevent infection due to the open fracture.

#### Prognosis and Follow-Up
- Most patients recover with appropriate treatment, although recovery times can vary depending on the severity of the fracture.
- Follow-up visits are crucial to monitor healing and adjust treatment as necessary.

#### Complications
- Delayed healing or malunion, where the bone heals improperly.
- Increased risk of infection due to the open nature of the fracture.
- Potential for reduced mobility or function in the finger.

#### Lifestyle & Prevention
- Use protective gear when engaging in activities that put fingers at risk.
- Maintain good bone health through diet rich in calcium and vitamin D.
- Practice safe work habits and follow proper safety protocols to reduce the risk of injury.

#### When to Seek Professional Help
- If there's severe pain, visible deformity, or an open wound.
- If you experience signs of infection, such as increased redness, warmth, or pus.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS): [www.aaos.org](https://www.aaos.org/)
- Mayo Clinic: [www.mayoclinic.org](https://www.mayoclinic.org/)
- National Institutes of Health (NIH): [www.nih.gov](https://www.nih.gov/)

#### Tips for Medical Coders
- Ensure accurate documentation of the fracture type (open vs. closed) and the specific finger involved.
- Avoid common errors like overlooking the initial encounter specification, which impacts coding accuracy.

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