S92.346D Nondisplaced fracture of fourth metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing

ICD10CM code

#### Name of the Condition
- Nondisplaced fracture of the fourth metatarsal bone, unspecified foot, subsequent encounter for routine healing
- ICD-10 code: S92.346D

#### Summary
A nondisplaced fracture of the fourth metatarsal bone refers to a break in the bone located in the forefoot that has not shifted out of alignment. In this context, "subsequent encounter for fracture with routine healing" indicates the patient is returning for follow-up care, and the fracture is healing as expected.

#### Causes
- Direct trauma to the foot, such as a fall or an impact during sports.
- Stress fractures from overuse, common in athletes and military recruits.

#### Risk Factors
- High-impact sports (e.g., soccer, basketball, running).
- Osteoporosis or weakened bones.
- Improper footwear lacking adequate support.

#### Symptoms
- Pain localized on the outer side of the foot.
- Swelling and bruising.
- Difficulty bearing weight or walking on the affected foot.

#### Diagnosis
- Physical examination of the foot.
- Imaging tests such as X-rays or MRI to confirm the fracture and its alignment.

#### Treatment Options
- Rest and limited weight-bearing activities to allow healing.
- Immobilization with a cast or boot to maintain proper alignment.
- Pain management with NSAIDs or acetaminophen.

#### Prognosis and Follow-Up
- Favorable prognosis if properly managed, with most individuals recovering fully.
- Regular follow-up appointments to ensure proper healing and alignment.

#### Complications
- Delayed healing or malunion if excessive strain is placed on the foot during recovery.
- Potential for chronic pain or limited mobility if untreated.

#### Lifestyle & Prevention
- Wearing appropriate protective footwear during high-risk activities.
- Gradually increasing activity levels to build resilience in foot bones.
- Strong bone health through diet rich in calcium and vitamin D.

#### When to Seek Professional Help
- Persistent or worsening pain despite rest and home care.
- Any new deformity or inability to move the foot.

#### Additional Resources
- [American Orthopaedic Foot & Ankle Society](https://www.aofas.org)
- [National Osteoporosis Foundation](https://www.nof.org)

#### Tips for Medical Coders
- Ensure accurate coding with both "S92.346D" and any relevant procedural codes related to follow-up care.
- Be cautious of specifying episodes of care; differentiate between initial and subsequent encounters.

Medical Policies and Guidelines for Nondisplaced fracture of fourth metatarsal bone, unspecified foot, subsequent encounter for fracture with routine healing

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