Displaced Rolando's fracture, right hand, sequela

This code signifies a past injury involving a displaced fracture at the base of the right thumb's first metacarpal bone, specifically a Rolando's fracture. This type of fracture is comminuted, meaning it has multiple fragments, and extends into the carpometacarpal (CMC) joint. The "sequela" designation indicates that this code is used to report a condition that is a late effect or complication of the original fracture, rather than the acute injury itself.

Use this code when documenting a patient presenting with ongoing issues, complications, or chronic conditions directly attributable to a previously sustained and healed (or healing) displaced Rolando's fracture of the right hand. This includes scenarios such as chronic pain, deformity, limited range of motion, or arthritis in the right thumb CMC joint resulting from the old fracture. It is not used for the initial acute injury.

• Always sequence this sequela code after the code for the specific late effect or complication being treated (e.g., M19.041 for primary osteoarthritis of the right thumb).
• Ensure documentation clearly links the current condition to the prior Rolando's fracture of the right hand.
• Verify that the fracture was explicitly described as "displaced" and involved the right hand to ensure accurate code selection.