Disp fx of shaft of 5th MC bone, l hand, 7thP

This code signifies a left-hand injury involving a break in the middle part (shaft) of the fifth metacarpal bone, which is the long bone connecting the little finger to the wrist. The fracture has healed in an abnormal position (malunion), and the patient is presenting for follow-up care related to this previously treated fracture.

This code is appropriate for documenting a patient encounter where a previously treated displaced fracture of the left fifth metacarpal shaft has resulted in malunion, and the patient is being seen for ongoing management, evaluation, or treatment of this complication. This includes visits for physical therapy, re-evaluation of the malunion, or planning for corrective surgery.

• Ensure documentation clearly states "left hand" and specifies the "fifth metacarpal" to differentiate from other metacarpals or hand bones.
• The "P" seventh character indicates a subsequent encounter for a fracture with malunion, so verify that the encounter is not for initial treatment or routine healing.
• Look for physician notes explicitly mentioning "malunion" as the outcome of the previously treated fracture.