Disp fx of shaft of fourth metacarpal bone, right hand, init

This code signifies a break in the main body (shaft) of the fourth metacarpal bone in the right hand, where the bone fragments are no longer in their normal alignment. This injury is considered a closed fracture, meaning the skin over the fracture site remains intact.

This code is appropriate for the initial treatment of a patient presenting with a displaced fracture of the shaft of the right fourth metacarpal. It is used when the fracture has not broken through the skin and the patient is receiving their first definitive care for this specific injury.

• Ensure documentation specifies "displaced" and "shaft" for accurate coding.
• Verify the laterality (right hand) and the specific metacarpal (fourth).
• Confirm "initial encounter" for a closed fracture; subsequent care or open fractures require different codes.