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

This diagnosis code signifies a break in the neck of the fourth metacarpal bone in the right hand, where the bone fragments are no longer in their normal alignment. This type of fracture is considered "displaced," meaning the bone ends have shifted. The "initial encounter" designation indicates that the patient is receiving active treatment for this specific injury.

This code is appropriate for documenting a newly diagnosed, displaced fracture of the right fourth metacarpal neck. It should be used when the patient presents for the initial evaluation and management of the fracture, including reduction (if performed) and casting or splinting. This code is not for follow-up care or for fractures that are not displaced.

• Ensure documentation clearly specifies "displaced" and "right hand" for the fourth metacarpal neck fracture.
• Verify that this is the patient's first visit for this specific fracture to justify the "initial encounter" seventh character.
• Distinguish from non-displaced fractures, which would require a different code.