ICD-10-CM Billable Code

S62.331

Displaced fracture of neck of second metacarpal bone, left hand

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the neck of the second metacarpal bone in the left hand refers to a broken bone in one of the long bones that lead to the index finger. The 'displaced' aspect indicates that the broken bone ends have moved out of their normal alignment. This injury typically results from direct trauma or impact to the hand and can affect hand function, strength, and mobility. Proper diagnosis and treatment are essential to ensure proper healing and restore hand use.

Causes & Symptoms

Clinical Causes: Trauma from a direct blow or impact, such as punching a hard surface or falling onto an outstretched hand Sports injuries involving sudden impact or falls Accidental crush injuries Falls from height landing on the hand Industrial or workplace accidents involving heavy machinery

Key Symptoms: Pain localized over the affected area, especially when moving the hand or fingers Swelling around the back of the hand near the second metacarpal Deformity or abnormal positioning of the hand or finger Limited range of motion in the fingers or wrist Tenderness to touch over the injury site Bruising or discoloration around the hand Difficulty grasping or holding objects

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed physical examination by a healthcare professional, who will assess the hand’s appearance, alignment, and function. Imaging tests are essential for confirming the fracture type and displacement. An X-ray of the hand provides clear images of the bones, allowing for assessment of fracture displacement, angulation, and severity. Sometimes, additional imaging like CT scans may be utilized for complex cases or to plan surgical intervention.

Treatment Protocols: Treatment options depend on the displacement degree, fracture stability, and overall health of the patient. Common approaches include: - Non-surgical management: - Immobilization with a cast or splint to keep the bone in proper position as it heals - Pain management with over-the-counter medications - Rest and elevation to reduce swelling - Surgical management: - Closed reduction and pinning to realign the fractured bone without an incision - Open reduction and internal fixation (ORIF) using screws or plates if the fracture is severely displaced or unstable Recovery involves regular follow-up visits, continued immobilization, and hand therapy once healing progresses. Physical therapy may be recommended to restore strength and mobility after the bone has healed.

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 S62.331 a billable ICD-10 code?
Yes, S62.331 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S62.331?
Clinical documentation must specify the nature of Displaced fracture of neck of second metacarpal bone, left hand and any associated comorbidities for accurate reporting.

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