Disp fx of 4th metatarsal bone, unsp foot, init for opn fx

This code signifies a break in the fourth metatarsal bone of the foot, where the bone fragments are no longer in their normal alignment. It specifically indicates an open fracture, meaning the skin and soft tissues have been compromised, exposing the bone to the outside environment. This is the initial encounter for treatment of this specific injury.

This code is appropriate for documenting the initial treatment of a patient presenting with a displaced fracture of the fourth metatarsal, regardless of which foot is affected, when there is an associated open wound. This includes scenarios such as a crush injury or a direct impact causing both the bone to break and the skin to be lacerated. It should be used for the first visit where definitive treatment for the fracture is planned or initiated.

• Ensure documentation clearly specifies "displaced" and "open fracture" for the fourth metatarsal.
• Verify laterality (left, right, or unspecified) is accurately reflected in the medical record.
• This "B" seventh character is only for the initial encounter; subsequent care will require different seventh characters.