Smith's fracture of left radius, init for opn fx type 3A/B/C

This code signifies a Smith's fracture affecting the left radius, which is a specific type of distal radial fracture characterized by volar displacement of the distal fragment. The "open fracture type IIIA, IIIB, or IIIC" indicates that the skin and soft tissues have been significantly compromised, exposing the bone, with varying degrees of soft tissue damage and contamination as per the Gustilo-Anderson classification. This injury requires immediate medical attention due to the high risk of infection and complex management.

Use this code for patients presenting with a newly diagnosed Smith's fracture of the left radius where the fracture is open and classified as Gustilo-Anderson type IIIA, IIIB, or IIIC. This code is appropriate for the initial encounter when the patient is receiving active treatment for the fracture, such as surgical repair, reduction, or casting. It should be selected when the medical record clearly documents both the fracture type and the open nature with the specified Gustilo-Anderson classification.

• Ensure the documentation explicitly states "Smith's fracture" and specifies the left radius.
• Verify the Gustilo-Anderson classification (IIIA, IIIB, or IIIC) for the open fracture, as this impacts code selection.
• Confirm this is the patient's initial encounter for this specific fracture to use the "initial encounter" designation.