Disp fx of shaft of fifth MC bone, r hand, init for opn fx

This code signifies a break in the middle portion (shaft) of the fifth metacarpal bone in the right hand, where the bone fragments are no longer in their normal alignment. This specific injury is an open fracture, meaning there is a wound that communicates with the fracture site, and it represents the initial treatment encounter.

This code is appropriate for documenting the first visit for a patient presenting with a right fifth metacarpal shaft fracture that is visibly open to the environment. This includes situations where the bone has pierced the skin or a deep laceration extends to the fracture. It should be used for the initial surgical or non-surgical management of the injury.

• Always confirm laterality (right hand) and the specific bone (fifth metacarpal shaft) from the physician's documentation.
• Ensure the documentation clearly states "open fracture" and that this is the "initial encounter" for treatment.
• Do not use this code for closed fractures, pathological fractures, or subsequent encounters for follow-up care.