Oth fx second metacarpal bone, right hand, init for opn fx

This code signifies a break in the second metacarpal bone of the right hand, which is the long bone connecting the index finger to the wrist. The fracture is classified as "other," meaning it's not a simple transverse, oblique, spiral, or comminuted fracture, and it involves a break in the skin exposing the bone.

Apply this code when documentation clearly indicates an open fracture of the right second metacarpal bone that doesn't fit more specific fracture types. This would be used for the initial treatment encounter following the injury, such as in the emergency department or during the first surgical repair.

• Ensure documentation specifies "right hand" and "second metacarpal."
• Verify the fracture is explicitly described as "open" and not a closed fracture.
• Confirm this is the patient's first encounter for this specific injury to use the "B" seventh character.