Unsp fracture of fourth metacarpal bone, left hand, init

This code signifies a fracture of the fourth metacarpal bone in the left hand where the specific type of fracture (e.g., transverse, oblique, spiral) is not documented. It indicates that the skin over the fracture site remains intact (closed fracture) and this is the initial treatment encounter for the injury.

This code is appropriate for initial encounters when a patient presents with a left fourth metacarpal fracture, and the medical record does not specify the fracture type. It is used when the fracture is confirmed as closed, meaning there is no open wound communicating with the fracture.

• Ensure the documentation clearly states "left hand" and "fourth metacarpal."
• Only use this code for initial encounters; subsequent encounters will require a different seventh character.
• Avoid using this code if the fracture type (e.g., transverse, oblique) is specified in the medical record, as more specific codes exist.