ICD-10-CM Billable Code

S62.633

Displaced fracture of distal phalanx of left middle finger

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the distal phalanx of the left middle finger involves a break in the small bone at the tip of your middle finger on the left hand. 'Displaced' indicates that the broken parts of the bone are no longer aligned correctly, which can affect finger function and may require medical intervention to heal properly. The distal phalanx is the bone at the very tip of the finger, essential for fine movements and grip.

Causes & Symptoms

Clinical Causes: Direct trauma from a blow or crush injury, such as slamming the finger in a door or dropping an object on it. Jam or pinch injuries, often occurring during sports or accidents. Falls that land on the hand, transmitting force to the finger bones. Work-related accidents involving tools or machinery. Repetitive stress or overuse, although less common for fractures.

Key Symptoms: Sudden onset of pain at the tip of the finger, often intensifying with movement or touch. Swelling around the injured area, which may extend down the finger. Deformity or visible misalignment of the fingertip. Bruising or discoloration of the skin over the injury site. Reduced ability to move the finger or grip items. Tenderness when touching the affected area.

Diagnostic & Treatment

Diagnosis Path: Medical evaluation includes a physical examination to assess deformity, swelling, and tenderness. Imaging studies, particularly X-rays, are essential to confirm the fracture, determine the extent of displacement, and plan appropriate treatment. Sometimes, additional imaging may be needed if complex fractures are suspected.

Treatment Protocols: Treatment approaches vary based on the severity and displacement of the fracture. Common management options include: - **Immobilization:** Using a splint or cast to keep the finger steady, promoting proper healing. - **Realignment (Reduction):** If the bone fragments are significantly displaced, a healthcare professional may realign the bone, either manually or via surgical intervention. - **Surgical fixation:** In cases with significant displacement or multiple fractures, surgery may involve pins, wiring, or plates to stabilize the bone. - **Pain management:** Over-the-counter or prescribed medications to alleviate discomfort. - **Rehabilitation:** Physical therapy may be recommended afterward to restore movement, strength, and function. Healing time varies but generally takes several weeks, depending on the severity of the fracture and patient health. Follow-up care is vital to monitor recovery and prevent complications, such as stiffness or improper healing.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S62.633 a billable ICD-10 code?
Yes, S62.633 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.633?
Clinical documentation must specify the nature of Displaced fracture of distal phalanx of left middle finger and any associated comorbidities for accurate reporting.

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