S62.643D Nondisplaced fracture of proximal phalanx of left middle finger, subsequent encounter for fracture with routine healing

ICD10CM code

#### Name of the Condition
- Nondisplaced Fracture of Proximal Phalanx of Left Middle Finger
- ICD Code: S62.643D

#### Summary
A nondisplaced fracture of the proximal phalanx of the left middle finger is a type of bone break where the bone cracks but remains in its normal position. This condition is characterized by pain, swelling, and limited motion in the affected finger. The "subsequent encounter for fracture with routine healing" indicates continued treatment for the fracture as it heals appropriately.

#### Causes
- Direct trauma to the finger, such as hitting it or falling on an outstretched hand.
- Sports injuries and accidents involving equipment.
- Contributing factors may include weak bone structure.

#### Risk Factors
- Engaging in high-contact sports or activities.
- Occupational hazards involving repetitive hand movements.
- Overall bone health status, such as osteoporosis.

#### Symptoms
- Swelling and tenderness in the left middle finger.
- Pain with movement or pressure on the finger.
- Slight visible swelling or bruising without bump or deformation due to nondisplacement.

#### Diagnosis
- Physical examination to assess pain and range of motion.
- X-ray imaging to confirm the fracture and ensure nondisplacement.

#### Treatment Options
- Immobilization using a splint or finger cast to keep the bone in place during healing.
- Pain management with NSAIDs or prescribed medications.
- Physical therapy exercises to restore movement post-healing.

#### Prognosis and Follow-Up
- Prognosis is generally good with routine healing, given the nondisplacement.
- Regular follow-up appointments to monitor healing progression through X-rays and physical assessments.
- Physical therapy may be recommended post-healing to regain optimal function.

#### Complications
- Delayed healing or persistent pain if not properly immobilized.
- Potential for stiffness or reduced range of motion if physical therapy is neglected.

#### Lifestyle & Prevention
- Wearing protective gear during sports and physical activities.
- Maintaining bone health through adequate calcium and vitamin D intake.
- Observing safety precautions to prevent hand injuries.

#### When to Seek Professional Help
- Increased pain or swelling despite treatment.
- Signs of infection such as redness, warmth, or drainage from the site.
- Inability to move the finger or persistent numbness.

#### Additional Resources
- American Academy of Orthopaedic Surgeons: [AAOS](https://www.aaos.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases: [NIAMS](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the specific location and type of fracture are documented: proximal phalanx, left middle finger.
- Verify the encounter type: it should reflect a subsequent visit for routine healing.
- Cross-reference with patient notes to avoid miscoding as a new or more severe fracture.

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