Nondisp fx of shaft of fourth MC bone, right hand, init

This code signifies a break in the middle portion (shaft) of the fourth metacarpal bone in the patient's right hand. The bone fragments remain in their normal anatomical alignment, meaning no significant displacement has occurred. This diagnosis is for the initial treatment of this specific closed fracture.

This code is appropriate for documenting the first encounter for a patient presenting with a newly diagnosed, non-displaced fracture of the right fourth metacarpal shaft. It would be used when the fracture has not broken through the skin (closed fracture) and the patient is receiving their initial evaluation and management for this injury.

• Ensure documentation clearly specifies "nondisplaced" and "shaft" for the fourth metacarpal.
• Verify the laterality is "right hand" and that this is indeed the "initial encounter" for the fracture.
• Distinguish from displaced fractures, open fractures, or fractures of other metacarpal bones or parts of the fourth metacarpal.