306 for Unspecified fracture of fifth metacarpal bone, right hand is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Proximal phalangeal fractures are relatively common. Injury may result from a direct perpendicular force, a rotary force, or hyperextension of the finger. Proximal phalanx fractures can be the most disabling fracture of the hand because of the potential for damage of the extensor and flexor tendons.
733.82 - Nonunion of fracture.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
These are sometimes specifically referred to as the first (thumb), second (index finger), third (middle finger), fourth (ring finger), and fifth (little finger) proximal phalanx.
Proximal phalanx fracture - undisplaced If your proximal phalanx fracture is stable and undisplaced (ie the fragments are still in their normal position) it is unlikely that you will need surgery. Your fracture can be treated with splinting, taping or casting (or a combination of all three of these).
Nonunion and malunion fractures are identified with defective healing: nonunion describes the failure of a fractured bone to heal and mend after an extended period of time; malunion refers to a fracture that has healed in a deformed position, or with shortening or rotation of the limb.
A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced. appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
A fracture not indicated whether displaced or not displaced should be coded to displaced.” Traumatic fractures are coded using the appropriate 7th character extension for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture.
Displaced Fracture: bone breaks into two or more pieces and moves out of alignment. Non-Displaced Fracture: the bone breaks but does not move out of alignment. Closed Fracture: the skin is not broken.
Tip: If a fracture isn't indicated as displaced or nondisplaced, you should default to coding it as displaced. If a fracture isn't indicated as open or closed, you should default to closed.
Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II. S72. 023B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S72.
Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace.
Treatment Protocol Children with displaced proximal phalanx base fractures are usually treated with closed reduction and immobilization. If closed reduction fails to restore proper alignment or if there is a loss of alignment after reduction, then surgery is recommended.
Stable, nondisplaced toe fractures should be treated with buddy taping and a rigid-sole shoe to limit joint movement. Displaced fractures of the lesser toes should be treated with reduction and buddy taping. Patients with displaced fractures of the first toe often require referral for stabilization of the reduction.
Healing: This normally takes approximately 4-6 weeks to heal. finger to be a bit achy and swollen for a couple of months after this type of injury. splint or you can strap your fingers together for comfort. It is important to use the hand and keep the rest of the finger bending to stop it becoming stiff.
Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed
NEC Not elsewhere classifiable This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.