Multiple closed fractures of hand bones

This code signifies the presence of multiple bone fractures within the hand, where the skin remains intact over the fracture sites. It indicates a non-displaced or minimally displaced break in more than one metacarpal or phalangeal bone, without an open wound communicating with the fracture.

Apply this code when documentation clearly states "multiple closed fractures of hand bones" or specifies multiple closed fractures of metacarpals and/or phalanges. Supporting documentation includes radiology reports confirming multiple closed fractures and physician notes detailing the location and closed nature of the injuries.

• Ensure the documentation explicitly states "multiple" fractures; a single fracture, even if complex, would use a different code.
• Verify that the fractures are indeed "closed"; open fractures of the hand have distinct coding.
• Do not use this code if the fractures involve the wrist (carpals) or forearm; these require separate coding.