Find information on Left 5th Metatarsal Fracture diagnosis, including clinical documentation tips, ICD-10 and CPT codes, healthcare guidelines, and medical coding best practices. Learn about Jones fracture, avulsion fracture, stress fracture classifications, radiology coding, and proper documentation for optimal reimbursement. Understand the differences between proximal, diaphyseal, and distal fractures of the 5th metatarsal and explore relevant medical billing and coding resources for accurate claim submission.
Also known as
Fracture of fifth metatarsal
Covers fractures of the left or right fifth metatarsal bone.
Fracture of foot and toe
Includes various fractures of the foot and toes, except the ankle.
Injury, poisoning and certain other consequences of external causes
Encompasses a wide range of injuries, including fractures, due to external causes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the fracture of the proximal phalanx of the left fifth toe?
Yes
Code S92.442A Fracture of the proximal phalanx of left little toe, initial encounter
No
Is the fracture of the left fifth metatarsal?
When to use each related code
Description |
---|
Left 5th Metatarsal Fracture |
Left Foot Stress Fracture |
Left Foot Sprain or Strain |
Incorrectly coding the affected side (left vs. right) leading to claim rejections or inaccurate data reporting. Impacts reimbursement and quality metrics.
Failing to document the precise fracture type (e.g., Jones, avulsion, stress) can affect coding accuracy and reimbursement.
Overlooking additional injuries (e.g., soft tissue damage, dislocations) impacts appropriate coding and complete clinical picture.
Patient presents with complaints of left foot pain following a (mechanism of injury, e.g., twisting injury, direct blow). Pain is localized to the lateral aspect of the left foot over the fifth metatarsal. Onset of pain was (acute or insidious). Patient reports (presence or absence of) weight-bearing difficulties, edema, ecchymosis, and antalgic gait. Physical examination reveals tenderness to palpation over the fifth metatarsal, specifically at the (location of fracture, e.g., distal diaphysis, proximal diaphysis, tuberosity, Jones fracture). Range of motion of the left foot and ankle is (limited or within normal limits) with pain elicited on (specific movements, e.g., inversion, eversion, plantarflexion). Neurovascular examination of the left foot is intact. Radiographic imaging of the left foot (X-ray, CT scan if performed) confirms a fracture of the left fifth metatarsal, classified as (e.g., avulsion fracture, stress fracture, Jones fracture) with (description of fracture, e.g., displacement, comminution, angulation). Assessment: Left fifth metatarsal fracture. Differential diagnoses considered include soft tissue injury, sprain, and tendonitis. Plan: Patient education provided regarding fifth metatarsal fracture care, including RICE (rest, ice, compression, elevation). Weight-bearing status is (non-weight-bearing, partial weight-bearing, weight-bearing as tolerated) with assistive device (crutches, walking boot, etc.) as needed. Pain management with (analgesics prescribed, e.g., ibuprofen, acetaminophen). Referral to orthopedics for definitive management and consideration of (casting, surgical intervention) if indicated. Follow-up scheduled in (duration) for reassessment and monitoring of fracture healing. ICD-10 code (e.g., S92.402A) and CPT codes (e.g., for initial visit, radiographic interpretation, application of splint or cast, if performed) assigned.