Displaced Rolando's fracture, right hand, init for opn fx

This code signifies a fracture of the base of the thumb metacarpal (Rolando's fracture) on the right hand, which is displaced. The "open fracture" component indicates that the skin and soft tissues overlying the fracture site have been compromised, exposing the bone to the external environment. This is an initial encounter, meaning the patient is receiving active treatment for this specific injury.

Apply this code when documenting the initial treatment for a patient presenting with a comminuted, intra-articular fracture at the base of the right thumb metacarpal, where there is an associated open wound. This is appropriate for the acute phase of care, including emergency department visits, initial surgical repair, or the first few follow-up visits directly related to the initial management.

• Ensure documentation clearly specifies "displaced" and "open fracture" for accurate code assignment.
• Verify laterality (right hand) is explicitly stated in the medical record.
• Reserve "initial encounter" for the period of active treatment; subsequent care will require different encounter characters.