Disp fx of shaft of 4th MC bone, r hand, 7thD

This code describes a fracture of the shaft of the fourth metacarpal bone in the right hand that is no longer in its anatomical alignment (displaced). The patient is in a subsequent phase of care, and the fracture is healing as expected without complications.

Use this code for follow-up encounters when a patient with a previously diagnosed displaced right fourth metacarpal shaft fracture is presenting for routine healing assessment. This applies when the fracture is progressing well and there are no signs of delayed healing, nonunion, or malunion.

• Ensure documentation specifies "right hand" and "fourth metacarpal shaft" to support this specific code.
• The "D" seventh character indicates a subsequent encounter for routine healing; do not use for initial treatment or complicated healing.
• Verify that the fracture is indeed displaced; if not, a different code for an undisplaced fracture would be appropriate.