ICD 10 CM S62.395 | Description & Clinical Information

ICD 10 S62.395 describes a distinct type of injury to the fourth metacarpal bone of the left hand resulting from trauma, which may include a complete or partial fracture of the bone between the wrist and the ring finger, with or without misalignment of the fracture fragments, caused by a forceful blow to a clenched fist or a fall on an outstretched hand, and is not classified under any other category.

Official Description Of S62.395

The ICD 10 CM book defines ICD 10 code S62.395 as:

Other fracture of fourth metacarpal bone, left hand
Parent Code Notes: S62.3

Excludes2: fracture of first metacarpal bone (S62.2-)

Parent Code Notes: S62

Excludes1: traumatic amputation of wrist and hand (S68.-)

Excludes2: fracture of distal parts of ulna and radius (S52.-)

When To Use S62.395

The diagnosis describes by the ICD 10 CM S62.395 code involves a fracture of the fourth metacarpal bone of the left hand. This condition can present with a range of symptoms including pain, swelling, bruising, limited range of motion, and pain when the affected hand is moved or when lifting heavy items. Healthcare providers diagnose this condition through a combination of medical history, physical examination, and imaging tests. Plain x-rays, including PA, lateral, and oblique views, are typically the first-line imaging tests ordered to diagnose the condition.

In cases where the plain x-rays are inconclusive, computed tomography (CT) scans or bone scintigraphy may be used to further evaluate the fracture. CT scans are particularly useful for identifying small, non-displaced fractures that may be missed by other imaging techniques. Bone scintigraphy, which involves injecting a small amount of radioactive material into the body, can be used to diagnose stress fractures or other subtle injuries that may be missed on plain radiographs.

The treatment of a fourth metacarpal fracture depends on the severity and location of the fracture. Stable, closed fractures can often be treated with casting or splinting to immobilize the hand and promote healing. On the other hand, unstable or displaced fractures usually require reduction and fixation to realign the bone, which can include surgery for open fractures. Additionally, treating an open fracture may require a surgical procedure to clean and close the wound. Throughout the treatment process, pain and swelling can be managed with the application of ice packs and medications like analgesics and nonsteroidal anti-inflammatory drugs.

It is important to note that prompt and appropriate treatment for a fourth metacarpal fracture can help to prevent complications and promote better overall healing. Rehabilitation and physical therapy may be recommended for patients who experience limited range of motion or hand weakness following treatment. Patients should also follow their healthcare provider’s instructions in order to avoid exacerbating the injury or delaying the healing process.

In conclusion, the ICD 10 CM S62.395 code refers to a fracture of the fourth metacarpal bone of the left hand. Diagnosis involves a combination of medical history, physical examination, and imaging tests. Treatment options depend on the severity and location of the fracture and can include casting, splinting, reduction and fixation, or surgery. Pain and swelling can be managed with medications and ice packs. Timely and appropriate treatment can help to promote better overall healing and reduce the risk of complications.

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