Disp fx of fourth metatarsal bone, l foot, init for opn fx

This code signifies a break in the fourth metatarsal bone of the left foot where the bone fragments are no longer in their normal anatomical alignment. The fracture is open, meaning there is a wound that communicates with the fracture site, and this is the first time the patient is receiving active treatment for this specific injury.

This code is appropriate for documenting an initial encounter for a patient presenting with an open, displaced fracture of the left fourth metatarsal. This would include scenarios such as emergency department visits, initial surgical repair, or the first orthopedic consultation following the injury.

• Always confirm laterality (left foot) and the specific metatarsal involved (fourth).
• Verify that the fracture is explicitly documented as "displaced" and "open."
• Ensure this is indeed the "initial encounter" for treatment of this specific fracture; subsequent care would use a different encounter character.