ICD-10-CM Billable Code

S62.636

Displaced fracture of distal phalanx of right little finger

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the distal phalanx of the right little finger is a break in the last bone segment of the little finger on the right hand. This type of fracture occurs when the bone is cracked or shattered and the broken parts are no longer aligned correctly, often causing pain, swelling, and limited movement. It typically results from trauma or impact to the finger, such as jamming or a direct blow.

Causes & Symptoms

Clinical Causes: Sudden impact or trauma, such as hitting the finger against a hard object Falling onto the hand with the finger outstretched Crushing injuries from heavy objects Sports injuries involving finger contact Accidental punching or grabbing things forcefully

Key Symptoms: Severe pain at the site of injury Swelling around the fingertip Bruising or discoloration of the finger Deformity or misalignment of the fingertip Difficulty moving or bending the finger Sensitivity to touch Loss of function in the fingertip

Diagnostic & Treatment

Diagnosis Path: An initial examination by a healthcare provider involves inspecting the finger for visible deformities and swelling. To confirm the fracture and assess its severity, X-rays are typically performed. These imaging tests help determine whether the bone is displaced and guide treatment options. In some cases, additional imaging, such as CT scans, may be ordered for detailed evaluation.

Treatment Protocols: Treatment depends on the extent of displacement and the overall stability of the fracture. Common approaches include: - Immobilization: A splint or cast to keep the finger in proper alignment, promoting healing. - Realignment (reduction): If the bone fragments are displaced significantly, a healthcare provider may manually realign the bones (closed reduction), sometimes under local anesthesia. - Surgical intervention: In complex cases, surgery might be necessary to realign the bones with pins, screws, or plates. - Pain management: Analgesics or anti-inflammatory medications to reduce discomfort. - Follow-up care: Regular check-ups to ensure proper healing and prevent complications such as infection or stiffness. Rehabilitation exercises may be recommended after immobilization to restore mobility and strength in the finger.

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 S62.636 a billable ICD-10 code?
Yes, S62.636 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.636?
Clinical documentation must specify the nature of Displaced fracture of distal phalanx of right little finger and any associated comorbidities for accurate reporting.

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