In simple words: This code refers to a long-term complication following a Rolando's fracture in your right hand, where the base of your thumb was broken into multiple pieces but stayed aligned. A Rolando's fracture is a break near the base of the thumb that often forms a T or Y shape.

A nondisplaced Rolando's fracture is a specific type of fracture at the base of the first metacarpal bone of the thumb. It's a comminuted fracture, meaning the bone is broken into three or more pieces. However, in a nondisplaced fracture, these bone fragments remain in their anatomical alignment. This code specifically refers to a sequela, or a late effect, of a nondisplaced Rolando's fracture in the right hand, indicating ongoing issues resulting from the original injury after the fracture itself has healed.

Example 1: A patient experiences stiffness and limited range of motion in their right thumb several months after a healed nondisplaced Rolando's fracture, requiring ongoing physical therapy., A patient develops chronic pain at the site of a healed nondisplaced Rolando's fracture in their right hand, despite the fracture healing properly., A patient presents with post-traumatic arthritis in their right thumb joint as a long-term complication of a nondisplaced Rolando's fracture.

Documentation should support the presence of late effects from the fracture, clearly linking the current symptoms or condition to the previous Rolando’s fracture. Medical records from the initial injury, including imaging reports (X-rays, CT scans, MRI), should be available. Progress notes should outline treatments received, the patient’s response to treatment, and any persistent symptoms.

** If applicable, use additional code Z18.- to identify any retained foreign body.