Disp fx of base of fourth metacarpal bone, right hand, init

This code signifies a break in the base of the fourth metacarpal bone in the right hand, where the bone fragments are no longer in their normal alignment. It specifically indicates that this is the first time the patient is receiving active treatment for this particular injury, and the skin over the fracture site remains intact.

Apply this code for a patient presenting with a newly diagnosed, displaced fracture at the proximal end of the fourth metacarpal bone in their right hand. This is appropriate for the initial visit where definitive treatment, such as reduction or casting, is initiated for a closed fracture.

• Ensure documentation specifies "displaced" and "base of fourth metacarpal" for the right hand.
• Confirm the encounter is the "initial encounter" for active treatment of this specific fracture.
• Verify the fracture is "closed" (skin intact) before assigning this code.