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2025 ICD-10-CM code S62.175D

Nondisplaced fracture of trapezium [larger multangular], left wrist, subsequent encounter for fracture with routine healing.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury.Use additional code to identify any retained foreign body, if applicable (Z18.-).

Medical necessity for subsequent encounters for nondisplaced trapezium fractures is based on the need for ongoing monitoring of the healing process, pain management, and rehabilitation to restore function in the affected wrist.

Providers diagnose this fracture based on the patient’s history, physical examination, and plain X–rays (PA, lateral, oblique, and other views), followed by computed tomography and bone scan if the plain X–rays are not diagnostic. Treatment options include casting for stable and closed fractures, but unstable or displaced fractures require closed or open reduction and internal fixation and open fractures require surgery to close the wound. Other treatment options include application of ice pack, rest, elevation of the hand, medications such as analgesics and nonsteroidal anti–inflammatory drugs for pain, and, later, exercises to improve strength and flexibility.

In simple words: A nondisplaced fracture of the trapezium of the left wrist refers to a break in the larger wrist bone at the base of the thumb, without misalignment of the broken bone fragments.This typically happens due to a forceful blow to the inner wrist. This code is used for a follow-up visit for a fracture that is healing normally.

A nondisplaced fracture of the trapezium of the left wrist refers to a break in the larger quadrangular–shaped (four–sided) carpal (wrist) bone at the base of the thumb, without misalignment of the fracture fragments, due to a high impact trauma from a forceful direct blow to the inner side of the wrist. This code applies to a subsequent encounter for a normally healing fracture.

Example 1: A patient presents for a follow-up visit for a nondisplaced fracture of the left trapezium that occurred two weeks prior. The fracture is healing normally., A patient initially presented with a displaced fracture of the left trapezium, which was treated with closed reduction and casting.They now present for a subsequent encounter and the fracture is healing as expected., A patient with a nondisplaced fracture of the left trapezium, sustained in a fall, is seen for a follow-up appointment. The patient is experiencing pain and limited range of motion. The physician continues conservative treatment with pain management and recommends physical therapy.

Documentation should include details of the initial injury, the type of fracture (nondisplaced), the location (left trapezium), the treatment provided, and the patient's progress during the subsequent encounter.Confirmation of routine healing through imaging studies like X-rays should also be documented.

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