ICD 10 CM S62.398S | Description & Clinical Information

ICD 10 S62.398S describes a type of injury that involves a complete or partial break of a metacarpal bone, which may or may not result in misalignment of the fracture fragments, and is typically caused by trauma such as a forceful blow to a clenched fist, participation in sports activities, or a fall on an outstretched hand, with the provider identifying the specific type of fracture and documenting the affected metacarpal bone in order to accurately represent any resulting sequela.

Official Description Of S62.398S

The ICD 10 CM book defines ICD 10 code S62.398S as:

When To Use S62.398S

The diagnosis describes by the ICD-10-CM code S62.398S is an uncommon type of fracture involving the bones in the wrist known as the metacarpal bones. This fracture can cause a range of symptoms, including pain and swelling in the wrist, bruising, pain when moving the hand or lifting heavy weight, and limited range of motion.

To make a diagnosis, medical providers would typically evaluate the patient’s medical history and conduct a physical examination, including using plain X-rays such as PA, lateral, oblique, and other views. If the plain X-rays are not enough for a proper diagnosis, the provider may need to perform additional tests such as ultrasound, computed tomography, or bone scintigraphy.

There are several treatment options available for metacarpal fractures, including casting for stable and closed fractures. However, unstable or displaced fractures may require more invasive treatment such as open reduction and internal fixation, a surgical procedure to reposition the broken bone pieces and fix them into place. In cases where the fracture results in an open wound, surgical intervention is needed to close the wound.

Aside from the more invasive options, other treatments may be necessary to manage pain and swelling. Providers may recommend the application of ice packs and the use of analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) to help with pain.

While metacarpal fractures are a rare condition, they do occur, and medical coders should know how to properly code this type of fracture. Adequate documentation by providers is essential for the medical coder so they can accurately code the diagnosis and treatment.

It’s critical to remember that the use of the correct ICD-10-CM code is one of the most crucial aspects of medical coding, as it impacts not only the ability to claim reimbursement for a service but also the accuracy of statistical reporting. Medical coders play a vital role in ensuring proper coding, which greatly impacts medical billing and reimbursement procedures.

In conclusion, the ICD-10-CM S62.398S diagnosis code indicates a fracture involving the wrist’s metacarpal bones, with symptoms that affect a person’s range of motion and mobility. Medical providers diagnose this condition by conducting physical examinations, using plain X-rays and, if necessary, additional imaging tests. Treatment options include casting, surgery, ice packs, analgesics, and nonsteroidal anti-inflammatory drugs (NSAIDs). As a medical coder, it is essential to know how to code this diagnosis and have a thorough understanding of the documentation requirements.