S62.637A Displaced fracture of distal phalanx of left little finger, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced Fracture of Distal Phalanx of Left Little Finger, Initial Encounter for Closed Fracture
- Technical Term: S62.637A

#### Summary
A displaced fracture of the distal phalanx of the left little finger is a break in the bone near the fingertip that has shifted from its normal position. This condition typically results from an injury or trauma to the finger.

#### Causes
- Direct trauma, such as a fall or impact during sports.
- Crushing injury to the fingertip.

#### Risk Factors
- Involvement in contact sports or activities with a high risk of hand injury.
- Occupational hazards where hand injuries are common, such as construction work.

#### Symptoms
- Pain and tenderness in the affected finger.
- Swelling or bruising around the fingertip.
- Limited ability to move the finger.
- Visible deformity if the fracture is severe.

#### Diagnosis
- Physical examination by a healthcare professional.
- Imaging tests, primarily X-rays, to assess the displacement and extent of the fracture.

#### Treatment Options
- Immobilization using a splint or cast to keep the finger stable and promote healing.
- Reduction procedures to realign the displaced bone, if necessary.
- Physical therapy post-healing to restore movement and strength.
- In severe cases, surgical intervention might be required to correct the displacement.

#### Prognosis and Follow-Up
- With proper treatment, patients typically recover full function.
- Follow-up appointments are crucial to monitor the healing process and to start physical therapy if needed.

#### Complications
- Nonunion or malunion if the fracture doesn't heal properly.
- Stiffness or reduced range of motion in the finger.
- Persistent pain if not treated adequately.

#### Lifestyle & Prevention
- Use protective gloves or gear during activities prone to hand injuries.
- Performing hand-strengthening exercises can help prevent future injuries.

#### When to Seek Professional Help
- Severe pain, swelling, or inability to move the finger.
- Any visible deformity or signs of infection, such as redness or a warm feeling.

#### Additional Resources
- American Society for Surgery of the Hand (www.assh.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure accurate documentation of the affected finger and type of fracture.
- Verify that the encounter is coded as an initial encounter (using 'A' at the end of the code).
- Be cautious of similar codes that might refer to other fingers or different types of fractures.

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