S62.02
Fracture of middle third of navicular [scaphoid] bone of wrist
Clinical Classification Guidelines
Medical Intelligence & Overview
A fracture of the middle third of the navicular (scaphoid) bone of the wrist is a common injury, often resulting from falls onto an outstretched hand or direct trauma. This injury can lead to pain, swelling, and impaired wrist function. Proper diagnosis and management are essential to promote healing and prevent complications such as non-union or chronic wrist pain.
Causes & Symptoms
Clinical Causes: Falling onto an outstretched hand (most common cause) Direct blow to the wrist Sports injuries, such as in skateboarding, snowboarding, or football Motor vehicle accidents Accidental falls in elderly individuals
Key Symptoms: Pain localized over the snuffbox (anatomic region on the back of the wrist) Swelling around the wrist joint Tenderness upon palpation of the middle of the wrist Difficulty moving or gripping objects Possible bruising around the wrist Reduced wrist range of motion
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and imaging studies. The physician will examine the wrist, assessing for tenderness and swelling. Imaging techniques include: - X-rays: Initial imaging modality to visualize fracture line and displacement; however, some fractures may be occult (not seen on initial X-ray) - MRI or CT scan: Used if X-rays are inconclusive, providing detailed images to confirm the fracture and assess for complications
Treatment Protocols: Management aims to ensure proper healing of the fractured bone and restore wrist function. Treatment options include: - Immobilization: Using a cast or brace for several weeks, typically 6-12 weeks, depending on the severity and location of the fracture - Surgical intervention: May be necessary if the fracture is displaced, non-union occurs, or conservative treatment fails; surgical options include internal fixation with pins, screws, or plates - Pain management: Use of analgesics as recommended by healthcare providers - Follow-up: Regular imaging to monitor healing progress and ensure proper alignment Recovery involves periodical reassessment, gradual resumption of activities, and possibly hand therapy to regain strength and mobility.
Clinical Advice & FAQs
Billing Guidance
Is S62.02 a billable ICD-10 code?
Yes, S62.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S62.02?
Clinical documentation must specify the nature of Fracture of middle third of navicular [scaphoid] bone of wrist and any associated comorbidities for accurate reporting.
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