S62.394 is a non-billable ICD-10 code for Other fracture of fourth metacarpal bone, right hand.
Fracture of other and unspecified metacarpal bone 1 S62.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S62.3 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S62.3 - other international versions of ICD-10 S62.3 may differ.
The 2022 edition of ICD-10-CM S62.3 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM S62.354 became effective on October 1, 2021.
S62.354 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
S62.304A is a billable diagnosis code used to specify a medical diagnosis of unspecified fracture of fourth metacarpal bone, right hand, initial encounter for closed fracture. The code S62.304A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S62.304A might also be used to specify conditions or terms like closed fracture of fourth metacarpal bone of right hand, open fracture of fourth metacarpal bone or open fracture of fourth metacarpal bone of right hand.#N#S62.304A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified fracture of fourth metacarpal bone right hand for closed fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.#N#Unspecified diagnosis codes like S62.304A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.#N#The code S62.304A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Communication With The Physician Or Other Clinician Managing On-going Care Post-fracture For Men And Women Aged 50 Years And Older , Osteoporosis Management In Women Who Had A Fracture.
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
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.