Oth fx fifth metacarpal bone, right hand, init for opn fx

This code signifies a fracture of the fifth metacarpal bone in the right hand, which is not further specified as a Boxer's fracture or other specific type, and involves a break in the skin or an open wound communicating with the fracture site. It indicates the initial treatment encounter for this type of injury.

This code is appropriate for documenting the first visit for a patient presenting with an open fracture of the right fifth metacarpal. This includes situations where the bone has broken through the skin or there is a wound directly exposing the fracture.

• Ensure documentation clearly specifies "open fracture" and the "right hand" for the fifth metacarpal.
• Verify this is the initial encounter for treatment of this specific injury; subsequent encounters will require a different seventh character.
• Do not use this code for a Boxer's fracture, which has a more specific code.