{"id":177209,"date":"2026-08-13T08:36:01","date_gmt":"2026-08-13T08:36:01","guid":{"rendered":"https:\/\/pabau.com\/?p=177209"},"modified":"2026-08-13T08:36:03","modified_gmt":"2026-08-13T08:36:03","slug":"icd-10-code-s62291b","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s62291b\/","title":{"rendered":"ICD-10 Code S62.291B: Other fracture of first metacarpal bone"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S62.291B: other fracture of first metacarpal bone, right hand\",\"description\":\"ICD-10 Code S62.291B covers an other fracture of the first metacarpal bone, right hand, at the initial encounter for an open fracture. Billable and valid for submission in 2026.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62291b\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-01-15\",\"dateModified\":\"2026-01-15\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>ICD-10 code S62.291B covers an other fracture of the first metacarpal bone of the right hand, at the initial encounter for an open fracture.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>S62.291B is billable and valid for HIPAA-covered claim submission. It took effect on October 1, 2025 under the 2026 edition.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The 7th character B means initial encounter for open fracture. Using A instead is the most common coding error on this code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The physician must document a wound communicating with the fracture site. Without that language, the coder defaults to S62.291A.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau attaches the correct diagnosis code to every claim, which cuts denials at the 7th character level.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\"><strong>ICD-10 Code S62.291B<\/strong> is the billable code for an other fracture of the first metacarpal bone, right hand. It applies at the initial encounter for an open fracture. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It carries three fixed elements: right-hand laterality, an open fracture, and the initial encounter. Change any one of them and a different code applies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This reference covers the code&#8217;s clinical description, the full 7th character table, and the A-versus-B decision. It also maps the code&#8217;s place in the ICD-10-CM hierarchy and its siblings in the S62.29 family. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then it covers CPT pairing, the four errors that trigger denials, and the documentation a clean claim needs.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-icd-10-code-s62-291b-definition-and-billable-status\" class=\"wp-block-heading\">ICD-10 Code S62.291B: Definition and billable status<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>ICD-10 Code S62.291B<\/strong> is a billable, valid-for-submission ICD-10-CM diagnosis code. It describes an other fracture of the first metacarpal bone of the right hand, at the initial encounter for an open fracture. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00abOther fracture\u00bb here excludes Bennett fractures and Rolando fractures. Those two carry their own codes, S62.21x and S62.22x.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.291B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable \/ specific<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Valid for submission<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes (HIPAA-covered transactions)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Effective date<\/td>\n<td style=\"padding:12px 16px;color:#374151\">October 1, 2025 (2026 ICD-10-CM edition)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ICD-10-CM (United States clinical modification)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Parent code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.291 (Other fracture of first metacarpal bone, right hand)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10-CM codes are updated every year by the Centers for Medicare and Medicaid Services and the National Center for Health Statistics. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS coding resources page<\/a> publishes each release. The 2026 edition, effective October 1, 2025, confirms S62.291B as billable and unchanged from prior editions.<\/p>\n\n\n\n<h2 id=\"h-what-does-s62-291b-mean-breaking-down-the-code\" class=\"wp-block-heading\">What does S62.291B mean? Breaking down the code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each segment of S62.291B encodes a specific clinical fact. Coders who understand the structure can quickly verify the code is correct before submission.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S62<\/strong> &#8211; Fracture of wrist and hand bones (Chapter 19, injuries to the wrist and hand, section S60-S69)<\/li>\n\n\n\n<li><strong>S62.2<\/strong> &#8211; Fracture of first metacarpal bone (the thumb metacarpal, anatomically distinct from the other four)<\/li>\n\n\n\n<li><strong>S62.29<\/strong> &#8211; Other fracture of first metacarpal bone (excludes Bennett and Rolando fractures, which carry S62.21x and S62.22x respectively)<\/li>\n\n\n\n<li><strong>S62.291<\/strong> &#8211; Other fracture of first metacarpal bone, right hand (laterality specified)<\/li>\n\n\n\n<li><strong>B<\/strong> (7th character) &#8211; Initial encounter for open fracture<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The first metacarpal is the thumb metacarpal. It is the shortest and most radially positioned of the five metacarpal bones. Fractures here are among the most common hand fractures seen in emergency and orthopedic settings. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS official ICD-10-CM web tool<\/a> confirms the full tabular description and index references for S62.291B.<\/p>\n\n\n\n<h2 id=\"h-what-the-7th-character-controls\" class=\"wp-block-heading\">What the 7th character controls<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 7th character is what separates a clean claim from a denial. The S62.291 family takes seven valid extensions, each with its own clinical meaning. Confusing A with B is the most common error in this family.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th Character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Meaning<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">First time patient receives active treatment; fracture is closed (skin intact)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">First time patient receives active treatment; wound communicates with the fracture site<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with routine healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up visits once active treatment phase is complete; healing progressing normally<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with delayed healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up visits; healing is slower than expected based on clinical criteria<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with nonunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture has failed to heal; no bony bridging across fracture site<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with malunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture has healed but in an abnormal position causing functional deficit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effects of the fracture (e.g., stiffness, chronic pain) after active treatment concluded<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM Official Guidelines for Coding and Reporting define an initial encounter as any visit where the patient receives active treatment for the fracture. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That includes the emergency room visit, fracture manipulation, and surgical repair. Once the patient moves to routine follow-up, the 7th character shifts to D, G, K, or P depending on how the fracture is healing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The AAPC code lookup adds crosswalk guidance for the S62.291 family, including modifier context and related procedure pairings. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rehabilitation teams tracking the same fracture through recovery in a <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy EMR<\/a> code the later encounters rather than the initial one.<\/p>\n\n\n\n<h2 id=\"h-s62-291b-vs-s62-291a-choosing-the-right-code\" class=\"wp-block-heading\">S62.291B vs S62.291A: Choosing the right code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The A-vs-B decision is clinical, not administrative. It depends entirely on the documented condition of the overlying skin at the fracture site. Coders cannot make this determination themselves and must rely on physician documentation.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical criteria<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Skin is intact; no wound communicating with the fracture site; documented as closed by the treating provider<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound present that communicates with the fracture site; bone may or may not be visible; documented as open by the treating provider<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">An open fracture does not require visible bone. A puncture wound or laceration that lets the fracture hematoma communicate with the outside qualifies clinically. The treating physician must document the fracture as open. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Without that language, the coder defaults to A. Assigning B without documented open-fracture status is a compliance risk and an audit exposure.<\/p>\n\n\n\n<h2 id=\"h-code-hierarchy-where-s62-291b-fits-in-icd-10-cm\" class=\"wp-block-heading\">Code hierarchy: Where S62.291B fits in ICD-10-CM<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The parent-child hierarchy tells coders where the correct level of specificity sits. It also helps billers spot when a payer is asking for a less-specific parent code in a Local Coverage Determination.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chapter 19:<\/strong> Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)<\/li>\n\n\n\n<li><strong>Section S60-S69:<\/strong> Injuries to the wrist and hand<\/li>\n\n\n\n<li><strong>Category S62:<\/strong> Fracture of wrist and hand bones<\/li>\n\n\n\n<li><strong>Subcategory S62.2:<\/strong> Fracture of first metacarpal bone<\/li>\n\n\n\n<li><strong>S62.29:<\/strong> Other fracture of first metacarpal bone (excludes Bennett S62.21, Rolando S62.22)<\/li>\n\n\n\n<li><strong>S62.291:<\/strong> Other fracture of first metacarpal bone, right hand<\/li>\n\n\n\n<li><strong>S62.291B:<\/strong> Initial encounter for open fracture (the fully specific billable code)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Payers require the most specific code available for a clean claim. S62.29 and S62.291 are invalid without a 7th character and will be rejected. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The same hierarchy logic runs through the rest of the injury chapter, including <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s52262k\/\">S52.262K<\/a>. Everywhere in it, 7th character specificity is a billing requirement rather than a documentation preference.<\/p>\n\n\n\n<h2 id=\"h-related-codes-in-the-s62-29-family\" class=\"wp-block-heading\">Related codes in the S62.29 family<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Coders working on hand fracture claims frequently need to navigate the full S62.291 and S62.292 code sets. The table below maps the full 7th character set for both right and left hand variants. It also lists the named fracture codes in the adjacent subcategories.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, initial encounter for closed fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, right hand, subsequent encounter for fracture with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with delayed healing, right hand<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with nonunion, right hand<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with malunion, right hand<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.291S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela of other fracture of first metacarpal bone, right hand<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.292B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other fracture of first metacarpal bone, left hand, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.21xB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bennett fracture, right hand, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.22xB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rolando fracture, right hand, initial encounter for open fracture<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Bennett fractures are intra-articular fractures at the base of the first metacarpal, involving the carpometacarpal joint. Rolando fractures are comminuted intra-articular variants. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Both carry their own codes. S62.291B applies only when the fracture meets neither named definition. Later encounters on a metacarpal fracture move to codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62360g\/\">S62.360G<\/a>.<\/p>\n\n\n\n<h2 id=\"h-which-fractures-this-code-covers\" class=\"wp-block-heading\">Which fractures this code covers<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S62.291B maps to a specific subset of first metacarpal fractures. Knowing what is included, and what is excluded, prevents miscoding in both directions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Included conditions (approximate synonyms):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Transverse fracture of the first metacarpal shaft, right hand, open, initial encounter<\/li>\n\n\n\n<li>Oblique fracture of the thumb metacarpal, right, open, initial encounter<\/li>\n\n\n\n<li>Spiral fracture of the first metacarpal, right hand, open, initial encounter<\/li>\n\n\n\n<li>Comminuted fracture of the first metacarpal (not meeting Rolando criteria), right hand, open, initial encounter<\/li>\n\n\n\n<li>Stress fracture or avulsion fracture of the first metacarpal not specified as Bennett or Rolando, right hand, open, initial encounter<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Excluded conditions (use a different code):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bennett fracture (intra-articular, base of first metacarpal): use S62.21x<\/li>\n\n\n\n<li>Rolando fracture (comminuted intra-articular, base of first metacarpal): use S62.22x<\/li>\n\n\n\n<li>Left hand variants: use S62.292B<\/li>\n\n\n\n<li>Subsequent encounters: use S62.291D (routine healing), G (delayed), K (nonunion), or P (malunion)<\/li>\n\n\n\n<li>Closed fractures at initial encounter: use S62.291A<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices running a <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine practice<\/a> see first metacarpal fractures from ball sports and contact injuries. Open wounds are more common there than in simple falls. Where the mechanism involves broken glass, add the external cause code <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-w25xxxd\/\">W25.XXXD<\/a> for the follow-up encounter.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Before selecting S62.291B, verify two things in the clinical note. First, language documenting a wound that communicates with the fracture site. Second, confirmed right-hand laterality. If either is missing or ambiguous, query the treating provider before you submit the claim.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-billing-and-reimbursement-pairing-the-code-on-a-claim\" class=\"wp-block-heading\">Billing and reimbursement: Pairing the code on a claim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S62.291B is valid for all HIPAA-covered electronic health transactions. That includes professional (CMS-1500) and institutional (UB-04) claim types. Correct use requires pairing the diagnosis code with the appropriate procedure code, correct encounter type, and payer-required modifiers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Common CPT procedure code pairings:<\/strong> metacarpal fracture care codes used alongside S62.291B sit in the 26600 to 26615 range. The choice depends on the treatment delivered. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Closed manipulation is 26600 or 26605, and open treatment, including internal fixation where performed, is 26615. Verify the pairing against the provider&#8217;s documentation and payer bundling rules, since the ICD-10-CM code alone does not fix it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau lets orthopedic and hand surgery teams attach diagnosis codes to procedures at the point of care. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That shortens the lag between treatment and submission, which is where encounter-type errors creep in. The <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule tool<\/a> carries payment and RVU data for the paired CPT codes.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s62291b\/automate-claims-through-healthcode.webp\" alt=\"Automated claims and billing in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau builds the claim from the treatment note, so the S62.291B diagnosis travels with the procedure code instead of being keyed in twice.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Practices operating under HIPAA must use ICD-10-CM codes in every covered electronic transaction. <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA compliance for medical offices<\/a> treats correct diagnostic coding as part of claim integrity. Submitting a code with no documented clinical support behind it creates audit exposure.<\/p>\n\n\n\n<h2 id=\"h-common-coding-errors-with-s62-291b\" class=\"wp-block-heading\">Common coding errors with S62.291B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Four errors account for most denials and audit flags on claims carrying S62.291B. Each one is visible in the claim before it goes out, which makes all four preventable at the coder&#8217;s desk.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Using S62.291A instead of S62.291B without documentation review.<\/strong> Where the notes do not state \u00abopen fracture,\u00bb coders sometimes default to A. That is wrong whenever the record supports an open fracture. Query the provider rather than guessing.<\/li>\n\n\n\n<li><strong>Submitting the parent code S62.291 or S62.29 without a 7th character.<\/strong> Neither S62.291 nor S62.29 is a valid billable code. Both are non-specific and will be rejected. Always append the appropriate 7th character to reach a billable, specific code.<\/li>\n\n\n\n<li><strong>Using S62.291B for a Bennett or Rolando fracture.<\/strong> S62.291B explicitly excludes named fracture types that have their own codes. Where the fracture is intra-articular at the base of the first metacarpal, check the Bennett and Rolando criteria first. Only then default to \u00abother fracture.\u00bb<\/li>\n\n\n\n<li><strong>Applying B to subsequent encounters.<\/strong> Once the patient is in follow-up care after active treatment concludes, the encounter type changes. Continuing to use B on follow-up visits is incorrect and signals a lack of encounter-type awareness to payers during audits.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices where coders and clinicians share one documentation workflow see fewer of these errors. Structured note templates that prompt for fracture type and open or closed status are the practical fix. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When you compare <a href=\"https:\/\/pabau.com\/blog\/claims-management-software-pabau-vs-waystar\/\">claims management platforms<\/a>, check whether the system flags encounter-type mismatches before submission.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-to-support-s62-291b\" class=\"wp-block-heading\">Documentation requirements to support S62.291B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A clean claim using ICD-10 Code S62.291B requires specific clinical documentation elements. These are not optional: without them, the code has no clinical support and creates audit risk.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Open fracture explicitly documented.<\/strong> The treating physician must document that a wound communicates with the fracture site. Language such as \u00abopen fracture,\u00bb \u00abcompound fracture,\u00bb or a clinical description of a wound at the fracture site satisfies this requirement. Absence of skin documentation defaults to closed.<\/li>\n\n\n\n<li><strong>Right-hand laterality confirmed.<\/strong> The record must specify right hand. Documentation stating \u00abhand fracture\u00bb without laterality does not support S62.291B. Use S62.292B for left hand.<\/li>\n\n\n\n<li><strong>Initial encounter status established.<\/strong> The record must show the patient is receiving active treatment for the fracture. Emergency room notes, operative reports, or first fracture clinic visits typically establish this. Subsequent routine follow-up notes do not.<\/li>\n\n\n\n<li><strong>Fracture type documented as \u00abother\u00bb (not Bennett or Rolando).<\/strong> Where radiographic or operative findings are recorded, there should be no language indicating intra-articular involvement at the base consistent with a Bennett or Rolando pattern.<\/li>\n\n\n\n<li><strong>Physician attestation and co-signature (where applicable).<\/strong> For teaching hospitals and facilities using resident documentation, the attending physician must co-sign notes used as the basis for diagnosis coding.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital clinical forms<\/a> can build these prompts into the encounter template itself. That removes the back-and-forth between coder and provider that holds claims up. The same documentation discipline applies to soft tissue injuries of the hand such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s61441d\/\">S61.441D<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s62291b\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s custom forms let you require laterality and open or closed status before a hand fracture note can be signed off.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Build a four-box checklist for open hand fractures into your intake workflow. Confirm laterality, record open versus closed, specify the fracture type, and note the encounter type. One completed checklist removes the four most common S62.291B coding errors.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-keeps-the-7th-character-right-on-hand-fracture-claims\" class=\"wp-block-heading\">How Pabau keeps the 7th character right on hand fracture claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In most practices the fracture note and the claim live in separate systems. A coder reads the note days later, decides whether the record supports an open fracture, and keys the code by hand. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That delay is where A gets used instead of B, and where a follow-up visit keeps the initial-encounter character it should have dropped.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau closes that loop. The clinician documents laterality and open or closed status in a structured field on the encounter form. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> reads that record directly. The diagnosis code attaches to the procedure at the point of care. The claim is then built from that same record rather than retyped from it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The outcome is fewer avoidable denials on hand fracture claims and a shorter path from treatment to payment. Every Pabau subscription includes claims, clinical notes, and forms, so a small orthopedic practice runs the same workflow as a multi-site group.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Code hand fractures right the first time                <\/h3>\n\n                <p class=\"description\">\n                    Pabau attaches the correct ICD-10 diagnosis code to every procedure at the point of care and flags encounter-type mismatches before the claim leaves your practice. Fewer denials, faster reimbursement.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most denials on first metacarpal fracture claims come down to a single character. Either the wrong 7th character was chosen, or none was appended at all. S62.291B is specific, billable, and valid for the 2026 coding year. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It only performs that way when the note supports open fracture, right-hand laterality, and initial encounter status.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical move is to fix this at the point of documentation, not at the point of billing. A note that names laterality and open status leaves the coder nothing to guess at, and the claim goes out clean the first time. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau supports accurate diagnostic coding.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding a hand fracture that failed to heal?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62606k\/\">S62.606K<\/a> covers the nonunion encounter, with the same laterality and 7th character rules applied at the far end of the healing timeline.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Following a metacarpal fracture through delayed healing?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62360g\/\">S62.360G<\/a> shows how the subsequent-encounter characters work once active treatment has ended.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting an open fracture taken to surgery?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/who-surgical-safety-checklist\/\">WHO surgical safety checklist<\/a> records the operative detail that supports the initial-encounter code on the claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want to reduce documentation burden across your practice?<\/strong> <a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">Pabau Scribe, our AI scribe<\/a>, captures structured clinical notes at the point of care. Fracture type, laterality, and encounter type all get recorded consistently.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786603311455\"><h3 class=\"schema-faq-question\">What is ICD-10 Code S62.291B?<\/h3> <p class=\"schema-faq-answer\">ICD-10 Code S62.291B is a billable ICD-10-CM diagnosis code. It covers an other fracture of the first metacarpal bone, right hand, at the initial encounter for an open fracture. It is valid for submission in HIPAA-covered transactions under the 2026 ICD-10-CM edition, effective October 1, 2025.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603311456\"><h3 class=\"schema-faq-question\">Is S62.291B a billable ICD-10-CM code?<\/h3> <p class=\"schema-faq-answer\">Yes. S62.291B is a billable, specific ICD-10-CM code valid for use on insurance claims and other HIPAA-covered electronic transactions. Parent codes S62.29 and S62.291 are non-specific and not billable; only the fully extended code with a valid 7th character is accepted.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603311457\"><h3 class=\"schema-faq-question\">What does the 7th character B mean in ICD-10 fracture codes?<\/h3> <p class=\"schema-faq-answer\">The 7th character B designates initial encounter for open fracture in ICD-10-CM fracture codes. It applies while the patient is receiving active treatment. The fracture must be documented as open, meaning a wound communicates with the fracture site.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603311458\"><h3 class=\"schema-faq-question\">What is the difference between S62.291A and S62.291B?<\/h3> <p class=\"schema-faq-answer\">S62.291A is used for initial encounter for a closed fracture; the skin is intact with no wound communicating with the fracture. S62.291B is used for initial encounter for an open fracture; a wound communicates with the fracture site, as documented by the treating physician.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603311459\"><h3 class=\"schema-faq-question\">What ICD-10 code is used for a right hand open metacarpal fracture?<\/h3> <p class=\"schema-faq-answer\">S62.291B is the correct code for a right hand open first metacarpal fracture at the initial encounter. It applies only where the fracture is neither a Bennett fracture nor a Rolando fracture. For second through fifth metacarpal open fractures, different S62 subcategory codes apply.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603311460\"><h3 class=\"schema-faq-question\">Is S62.291B valid for insurance claim submission in 2026?<\/h3> <p class=\"schema-faq-answer\">Yes. S62.291B is valid for insurance claim submission under the 2026 ICD-10-CM edition. The code became effective October 1, 2025 and remains a valid, billable code for the current fiscal year. Always verify against the current CMS ICD-10-CM tabular list for any changes in future fiscal years.<\/p> <\/div> <\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S62.291B covers an open first metacarpal fracture of the right hand at the initial encounter. The 7th character B is what payers check.<\/p>\n","protected":false},"author":83,"featured_media":177206,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[],"class_list":["post-177209","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 Code S62.291B: Open right thumb metacarpal fracture<\/title>\n<meta name=\"description\" content=\"S62.291B covers an open first metacarpal fracture of the right hand at the initial encounter. 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The 7th character B is what payers check.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s62291b\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-13T08:36:01+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-13T08:36:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/icd-10-code-s62291b.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Anja Dodevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anja Dodevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/\"},\"author\":{\"name\":\"Anja Dodevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\"},\"headline\":\"ICD-10 Code S62.291B: Other fracture of first metacarpal bone\",\"datePublished\":\"2026-08-13T08:36:01+00:00\",\"dateModified\":\"2026-08-13T08:36:03+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/\"},\"wordCount\":2821,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s62291b.webp\",\"articleSection\":[\"Diagnostic Codes\",\"ICD-10-CM\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/\",\"name\":\"ICD-10 Code S62.291B: Open right thumb metacarpal fracture\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/icd-10-code-s62291b.webp\",\"datePublished\":\"2026-08-13T08:36:01+00:00\",\"dateModified\":\"2026-08-13T08:36:03+00:00\",\"description\":\"S62.291B covers an open first metacarpal fracture of the right hand at the initial encounter. 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It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\",\"name\":\"Anja Dodevska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-CE0C072E-91B7-4BB7-BD27-D1E3B38ED0CA-scaled-1-96x96.jpg\",\"caption\":\"Anja Dodevska\"},\"description\":\"Anja Dodevska writes about healthcare, dermatology, and the day-to-day realities of running a medical practice for Pabau. She enjoys breaking down complex topics into clear, accessible content and has a soft spot for the often-overlooked aspects of clinic life. When she's not writing, she's exploring cafes, walking her dog, or spending time with friends and family.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/anja-dodevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311455\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311455\",\"name\":\"What is ICD-10 Code S62.291B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"ICD-10 Code S62.291B is a billable ICD-10-CM diagnosis code. It covers an other fracture of the first metacarpal bone, right hand, at the initial encounter for an open fracture. It is valid for submission in HIPAA-covered transactions under the 2026 ICD-10-CM edition, effective October 1, 2025.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311456\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311456\",\"name\":\"Is S62.291B a billable ICD-10-CM code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. S62.291B is a billable, specific ICD-10-CM code valid for use on insurance claims and other HIPAA-covered electronic transactions. Parent codes S62.29 and S62.291 are non-specific and not billable; only the fully extended code with a valid 7th character is accepted.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311457\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s62291b\\\/#faq-question-1786603311457\",\"name\":\"What does the 7th character B mean in ICD-10 fracture codes?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The 7th character B designates initial encounter for open fracture in ICD-10-CM fracture codes. It applies while the patient is receiving active treatment. 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It is valid for submission in HIPAA-covered transactions under the 2026 ICD-10-CM edition, effective October 1, 2025.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s62291b\/#faq-question-1786603311456","position":2,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s62291b\/#faq-question-1786603311456","name":"Is S62.291B a billable ICD-10-CM code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S62.291B is a billable, specific ICD-10-CM code valid for use on insurance claims and other HIPAA-covered electronic transactions. 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