ICD-10-CM Billable Code

S62.251

Displaced fracture of neck of first metacarpal bone, right hand

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the neck of the first metacarpal bone in the right hand involves a break in the bone located at the base of the thumb's metacarpal. When the fracture is displaced, the broken bone ends do not align correctly, often requiring medical intervention. This injury commonly results from trauma or a direct blow to the thumb and can impair hand function, strength, and dexterity if not treated properly.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched hand Direct trauma or blow to the thumb or hand Sports injuries involving impact or twisting motions Car accidents causing hand trauma Crushing injuries to the hand

Key Symptoms: Pain at the base of the thumb or palm Swelling around the thumb or palm area Visible deformity or misalignment of the thumb Difficulty moving or gripping objects Tenderness when touching the affected area Bruising around the injury site Reduced grip strength

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who assesses pain, swelling, and deformity. Imaging studies, especially X-rays, are essential to confirm the fracture, determine if it's displaced, and evaluate the extent of bone displacement. Proper imaging helps guide treatment decisions and prognosis.

Treatment Protocols: Treatment depends on the severity and displacement of the fracture. Common approaches include: - **Immobilization**: Using a cast or splint to keep the thumb and hand steady and allow the bone to heal properly. - **Reduction**: If the fracture is significantly displaced, a procedure to realign the bone fragments (closed or open reduction) may be necessary. - **Surgical intervention**: In cases of complex or severely displaced fractures, surgery involving pins, screws, or plates may be performed to stabilize the bone. - **Rehabilitation**: Post-treatment physical therapy to restore hand strength and mobility. - **Pain management**: Use of medications as recommended by a healthcare provider. Early and appropriate treatment can promote healing, reduce complications, and restore hand function.

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 S62.251 a billable ICD-10 code?
Yes, S62.251 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.251?
Clinical documentation must specify the nature of Displaced fracture of neck of first metacarpal bone, right hand and any associated comorbidities for accurate reporting.

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