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

This code signifies a fracture of the base of the thumb metacarpal (first metacarpal) that extends into the carpometacarpal joint, characterized by a Y or T-shaped intra-articular pattern. "Nondisplaced" indicates the bone fragments remain in their anatomical alignment, and "open fracture" means there is a break in the skin communicating with the fracture site. This specific code applies to the right hand and represents the initial treatment for this injury.

Use this code for the initial encounter when a patient presents with a newly diagnosed, nondisplaced Rolando's fracture of the right thumb metacarpal that has an associated open wound. This typically occurs following direct trauma to the thumb or a fall onto an outstretched hand. It is appropriate for the initial surgical or non-surgical management of the open fracture.

• Ensure documentation clearly specifies "nondisplaced" and "open fracture" for accurate code assignment.
• Verify the laterality (right hand) is explicitly stated in the medical record.
• Confirm this is the initial encounter for treatment; subsequent care would require a different encounter character.