Nondisp fx of pisiform, r wrist, subs for fx w routn heal

This code signifies a follow-up visit for a patient who sustained a fracture of the pisiform bone in their right wrist. The fracture was initially identified as nondisplaced, meaning the bone fragments remained in their normal anatomical alignment. At this encounter, the fracture is progressing through a typical healing process without complications.

This code is appropriate for subsequent encounters where a patient with a previously diagnosed nondisplaced right pisiform fracture is being monitored for routine healing. This includes follow-up appointments for cast checks, removal of immobilization devices, or clinical assessments confirming expected recovery. It should be used when there are no signs of delayed healing, nonunion, or malunion.

• Ensure documentation specifies "right wrist" and "pisiform" to differentiate from other carpal bones or laterality.
• Verify the fracture was initially nondisplaced and that the current encounter is for routine healing, not delayed or complicated healing.
• The 7th character "D" indicates a subsequent encounter for fracture with routine healing; do not use for initial treatment or encounters with complications.