ICD-10-CM Billable Code

S62.638

Displaced fracture of distal phalanx of other finger

Clinical Classification Guidelines

Inclusion Terms

  • Displaced fracture of distal phalanx of specified finger with unspecified laterality

Medical Intelligence & Overview

A displaced fracture of the distal phalanx of the finger occurs when one of the small bones at the tip of a finger is broken and the broken parts are no longer aligned properly. The distal phalanx is the bone at the very tip of each finger, including the thumb. When this bone is fractured and displaced, it can cause pain, swelling, and difficulty moving the finger. This condition requires proper diagnosis and treatment to ensure healing and restore function.

Causes & Symptoms

Clinical Causes: Trauma from a direct blow, such as hitting the finger with a hammer or slamming it in a door Falling onto an outstretched hand or finger Sports injuries involving impact or excessive force Accidental crushing injuries Jam or crush injuries from heavy objects

Key Symptoms: Immediate pain at the tip of the finger Swelling and tenderness around the affected area Bruising or discoloration of the finger Deformity or abnormal angulation of the finger Difficulty moving or bending the finger Possible numbness or tingling if nerves are affected Sensitivity to touch at the fracture site

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who will assess the finger for deformity, swelling, and tenderness. To confirm the fracture and evaluate the displacement, imaging tests such as X-rays are essential. The X-ray images help determine the exact location and severity of the fracture, guiding appropriate treatment options.

Treatment Protocols: Treatment for a displaced fracture of the distal phalanx varies depending on the extent of displacement and whether the fracture involves the joint or skin. Common approaches include: - **Immobilization:** Using a splint or cast to keep the finger in the proper position and allow healing. - **Reduction:** If the bones are misaligned, a healthcare provider may need to realign them through a closed or open reduction procedure. - **Surgical intervention:** In cases of significant displacement, fractures involving the joint, or if the bone fragments pose a risk to tissues or nerves, surgery may be necessary to fixate the fracture with pins, screws, or wires. - **Pain management:** Over-the-counter pain relievers or prescribed medications can alleviate discomfort. - **Rehabilitation:** Once healed, physical therapy or finger exercises may be recommended to restore range of motion and strength.

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 S62.638 a billable ICD-10 code?
Yes, S62.638 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.638?
Clinical documentation must specify the nature of Displaced fracture of distal phalanx of other finger and any associated comorbidities for accurate reporting.

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