{"id":177193,"date":"2026-08-13T08:15:34","date_gmt":"2026-08-13T08:15:34","guid":{"rendered":"https:\/\/pabau.com\/?p=177193"},"modified":"2026-08-13T08:15:36","modified_gmt":"2026-08-13T08:15:36","slug":"icd-10-code-s62202p","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/","title":{"rendered":"ICD-10 Code S62.202P: Left first metacarpal fracture"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S62.202P: Unspecified fracture of first metacarpal bone, left hand, malunion\",\"description\":\"ICD-10 Code S62.202P (Unspecified fracture of first metacarpal bone, left hand, subsequent encounter for fracture with malunion) is billable and valid for FY2026.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62202p\/\",\"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 S62.202P covers an unspecified fracture of the first metacarpal bone, left hand, at a subsequent encounter with malunion.<\/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 code is billable and valid for HIPAA-covered transactions under the FY2026 ICD-10-CM edition, effective October 1, 2025.<\/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 P signals malunion, meaning the fracture healed in a non-anatomical position. That is what separates S62.202P from S62.202K and S62.202D.<\/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>Pabau&#8217;s claims management software tracks subsequent-encounter codes like S62.202P across follow-up visits, so fewer claims go out with the wrong 7th character.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S62.202P is a billable diagnosis code for an unspecified fracture of the first metacarpal bone, left hand. The 7th character P marks a subsequent encounter where the fracture has healed with malunion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers the code structure, all six 7th character options, clinical context, related codes, and the documentation each one needs. The aim is to settle the P, K, and D distinction before the claim goes out.<\/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-s62-202p-full-description-and-billable-status\" class=\"wp-block-heading\">ICD-10 code S62.202P: Full description and billable status<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S62.202P is a billable ICD-10-CM diagnosis code. Its full clinical description is: <strong>Unspecified fracture of first metacarpal bone, left hand, subsequent encounter for fracture with malunion.<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code became effective on October 1, 2025, and is valid for the FY2026 ICD-10-CM edition, according to the <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM web tool<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because S62.202P is a fully specified code, it can be used directly on insurance claims and HIPAA-covered transactions without further extension. The base code S62.202 is not itself billable, it requires a 7th character to be valid for submission.<\/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\">ICD-10-CM Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202P<\/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\">Unspecified fracture of first metacarpal bone, left hand, subsequent encounter for fracture with malunion<\/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 HIPAA transactions<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes<\/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 (FY2026 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 block<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S60-S69 (Injuries to the wrist, hand and fingers)<\/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\">S62.202 (not billable without 7th character)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-decoding-the-s62-202p-code-structure\" class=\"wp-block-heading\">Decoding the S62.202P code structure<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every character in an ICD-10-CM code carries a specific meaning. S62.202P is seven characters long, and each segment narrows the diagnosis from broad injury chapter to precise clinical detail.<\/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\">Character(s)<\/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<\/tr>\n<\/thead>\n<tbody>\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\">Injury chapter (Chapter 19, ICD-10-CM: S00-T88)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture at wrist and hand level<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">.2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">First metacarpal bone (thumb metacarpal)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">02<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left hand, unspecified fracture type<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">7th character: subsequent encounter for fracture with malunion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The &#8220;unspecified&#8221; designation (02) means the fracture type was not documented as open or closed in a way that maps to a more specific sub-classification. Coders should query the treating provider if documentation allows a more precise fracture type to be captured.<\/p>\n\n\n\n<h2 id=\"h-clinical-context-first-metacarpal-fractures-and-malunion\" class=\"wp-block-heading\">Clinical context: First metacarpal fractures and malunion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The first metacarpal is the bone at the base of the thumb. Fractures here are common in sports injuries, falls on an outstretched hand, and direct blows. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because the thumb metacarpal carries significant functional load, even minor malalignment during healing can affect grip strength and range of motion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Malunion occurs when a fractured bone heals in a non-anatomical position. Clinically, this means the fracture has united (bone ends have bridged) but the alignment is incorrect. Patients may present at follow-up with persistent pain, limited mobility, or visible deformity. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy practice management<\/a>, tracking these subsequent-encounter diagnoses accurately is essential for episode-of-care documentation and outcome reporting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three encounters commonly trigger S62.202P. The first is a cast or splint removal visit where imaging confirms malunited healing. The second is an orthopedic follow-up after reduction. The third is a referral into hand rehabilitation, usually documented in <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy software<\/a>.<\/p>\n\n\n\n<h2 id=\"h-understanding-the-7th-character-in-fracture-coding\" class=\"wp-block-heading\">Understanding the 7th character in fracture coding<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 7th character is required for all fracture codes in the S62 category. Without it, the claim cannot be submitted. Each character maps to a distinct phase of fracture care, and selecting the wrong one misrepresents the encounter.<\/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\">Full 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\">Meaning<\/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\">S62.202A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for 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\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with delayed 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\">K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S62.202S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela (late effects of the fracture)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM Official Guidelines are published jointly by <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS<\/a> and the National Center for Health Statistics. They tie the 7th character to the healing status documented at each encounter. Coders cannot retroactively apply P or K without clinical documentation of malunion or nonunion from the treating provider.<\/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>Check imaging reports before assigning ICD-10 code S62.202P. The P character requires documented evidence of malunion, typically confirmed on X-ray. If the radiologist or treating physician has not explicitly noted malunion in the record, query the provider before coding P.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-s62-202p-vs-related-codes-choosing-the-right-code\" class=\"wp-block-heading\">S62.202P vs related codes: Choosing the right code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The S62.202 family covers the left hand, unspecified fracture type. Sibling codes cover different laterality and fracture specificity. The table below helps coders navigate the most common decision points.<\/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\">Key differentiator<\/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\">S62.202P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, left hand, subsequent\/malunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left hand, malunion confirmed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.202K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, left hand, subsequent\/nonunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left hand, bone ends have NOT united<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.202D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, left hand, subsequent\/routine healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left hand, 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\">S62.201P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, right hand, subsequent\/malunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right hand (laterality change)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.209P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, unspecified hand, subsequent\/malunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use only when laterality genuinely undocumented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S62.202G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified fracture, first metacarpal, left hand, subsequent\/delayed healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Healing slower than expected, but progressing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The most common coding error in this family is confusing K (nonunion) with P (malunion). Nonunion means the fracture has not healed at all; malunion means it has healed, but incorrectly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Both require physician documentation, and neither can be inferred by the coder from clinical context alone. Malunion codes for the other metacarpals, such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62351p\/\">S62.351P<\/a>, follow the same rule.<\/p>\n\n\n\n<h2 id=\"h-coding-guidelines-for-s62-202p-documentation-requirements\" class=\"wp-block-heading\">Coding guidelines for S62.202P: Documentation requirements<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM Official Guidelines for Coding and Reporting set specific requirements for subsequent encounter fracture coding. Meeting them consistently is what keeps coding accurate across every injury category, and <a href=\"https:\/\/pabau.com\/blog\/clinical-documentation-software\/\">clinical documentation software<\/a> is where that consistency is enforced.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Subsequent encounter definition:<\/strong> A subsequent encounter is any visit after initial treatment of the injury. That includes follow-ups, cast changes, physical therapy check-ins, and orthopedic reviews. It does not have to be with the same provider.<\/li>\n\n\n\n<li><strong>Malunion must be documented:<\/strong> The physician, surgeon, or radiologist must explicitly document malunion or that the fracture has healed in a non-anatomical position. The coder cannot infer this from imaging reports alone without a provider attestation.<\/li>\n\n\n\n<li><strong>Laterality is required:<\/strong> For S62.202P specifically, the left hand laterality is built into the code. If documentation does not confirm left-hand involvement, use the unspecified laterality code S62.209P only as a last resort.<\/li>\n\n\n\n<li><strong>Open vs closed distinction:<\/strong> S62.202 is classified as an unspecified fracture type. The record may document a specific open fracture type, such as Gustilo I, II, or III. In that case a code from the S62.21 or S62.22 subcategory may be required. Review the tabular list before defaulting to S62.202P.<\/li>\n\n\n\n<li><strong>Principal vs additional diagnosis:<\/strong> At subsequent encounters focused primarily on fracture management, S62.202P is the principal diagnosis. If the visit is for a complication or a related condition, sequence accordingly per ICD-10-CM sequencing rules.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA-compliant medical documentation<\/a> requires that diagnosis codes accurately reflect the clinical picture at each specific encounter. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Applying S62.202P to a routine healing visit, or applying D to a visit where malunion has been confirmed, creates a compliance risk. <a href=\"https:\/\/pabau.com\/blog\/why-you-should-keep-client-records-up-to-date\/\">Keeping clinical records current<\/a> at each encounter is the practical safeguard against these errors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices handling high volumes of fracture follow-ups need encounter-specific diagnosis codes tracked across the whole episode of care. Records that flag the current healing stage at each visit give coders what they need without a retrospective chart review.<\/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-s62202p\/track-claims-from-start-to-finish.webp\" alt=\"Track claims from start to Finish\"\/><figcaption class=\"wp-element-caption\"><em>Pabau tracks each claim from submission to payment, so a 7th character mismatch surfaces before the payer turns it into a denial.<\/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<h2 id=\"h-when-to-use-s62-202p-common-clinical-scenarios\" class=\"wp-block-heading\">When to use S62.202P: Common clinical scenarios<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10 code S62.202P applies only when three conditions hold at once. The patient is at a follow-up visit rather than the initial fracture encounter. The fracture involves the first metacarpal of the left hand. Imaging or physician documentation confirms malunion. The same subsequent-encounter logic governs sibling codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s62211d\/\">S62.211D<\/a>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Post-reduction follow-up:<\/strong> A patient who had closed reduction of a first metacarpal fracture returns 6 weeks later. X-ray shows the bone has healed but with angular deformity. The physician notes malunion. Use S62.202P.<\/li>\n\n\n\n<li><strong>Orthopedic specialist review:<\/strong> A patient is referred to a hand surgeon after primary care follow-up reveals the fracture has healed in a suboptimal position. The specialist confirms malunion on imaging. S62.202P applies at this consultation.<\/li>\n\n\n\n<li><strong>Cast or splint removal visit:<\/strong> At splint removal, imaging shows consolidation with malalignment. Provider documents malunion. S62.202P is the correct code for the removal encounter.<\/li>\n\n\n\n<li><strong>Physical therapy intake:<\/strong> A patient is referred for occupational or physical therapy for a left thumb metacarpal fracture with documented malunion. At the initial PT evaluation, S62.202P is coded as the diagnosis driving therapy.<\/li>\n\n\n\n<li><strong>Pre-surgical assessment:<\/strong> A patient presents for surgical consultation to discuss corrective osteotomy for a malunited first metacarpal fracture of the left hand. S62.202P is the principal diagnosis for this encounter.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-cpt-codes-commonly-paired-with-s62-202p\" class=\"wp-block-heading\">CPT codes commonly paired with S62.202P<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S62.202P is a diagnosis code. It is paired with CPT procedure codes on claims to establish medical necessity. The CPT codes used depend on what the provider does at the encounter, not on the ICD-10 code alone. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Payer coverage policies vary, and the combinations below represent common clinical pairings, not guaranteed reimbursable combinations.<\/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\">CPT 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\">Typical use with S62.202P<\/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\">99213<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Office\/outpatient visit, established patient, moderate complexity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up evaluation and management of malunited 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\">26600<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of metacarpal fracture, single, without manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Conservative management of metacarpal fracture (initial encounter context)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">26615<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of metacarpal fracture, with or without internal or external fixation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Surgical correction of malunion via open reduction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">25600<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of distal radial fracture (Colles or Smith type)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Used when concurrent distal radius fracture management is documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">97161-97163<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physical therapy evaluation (low\/moderate\/high complexity)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">PT intake for rehabilitation of malunited metacarpal fracture<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">For CPT-to-ICD-10 medical necessity crosswalks, the <a href=\"https:\/\/www.aapc.com\/codes\/icd-10-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC Codify ICD-10-CM lookup<\/a> provides pairing guidance aligned with current Medicare policy. Always verify against the specific payer&#8217;s local coverage determination before submitting.<\/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>When billing surgical correction of a malunited metacarpal fracture, check how the payer classifies the procedure. Some treat it as a new injury event, which calls for CPT 26615 with the appropriate modifier. Others treat it as a complication of the original fracture. Payer policies vary widely here.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-keeps-7th-character-coding-accurate-across-follow-ups\" class=\"wp-block-heading\">How Pabau keeps 7th character coding accurate across follow-ups<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At a follow-up visit, the healing status usually sits in free text written at an earlier encounter. The coder either hunts back through the chart for it or reuses the character from last time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau stores each diagnosis against the appointment it was recorded at. <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">Claims management software<\/a> then submits the code that belongs to that visit, and <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">structured clinical records<\/a> show which healing stage the provider actually documented.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The result is fewer denials caused by 7th character mismatches between visits, and an audit trail you can defend without a retrospective chart review.<\/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                    Manage fracture follow-ups with accurate coding every time                <\/h3>\n\n                <p class=\"description\">\n                    Pabau helps practices track subsequent-encounter diagnoses across visits, flag missing healing-status notes, and submit claims with the right ICD-10 codes attached. See how it works in your practice.                <\/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 platform\"\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\">ICD-10 code S62.202P describes a left thumb metacarpal fracture that has healed, but not correctly. The P character is not interchangeable with D or K, and the distinction rests entirely on documented evidence from the treating clinician. Getting it right protects claim integrity and supports accurate episode-of-care tracking.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices managing high volumes of orthopedic follow-ups can reduce 7th character errors by building encounter-specific documentation workflows directly into their <a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">practice management software<\/a>. To see how Pabau supports accurate diagnosis coding and claims submission across follow-up visits, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/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>Need guidance on other ICD-10 injury codes?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-p103\/\">P10.3<\/a> shows how the same documentation-first rules apply to birth injury coding.<\/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>Running a physiotherapy or musculoskeletal practice?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/physiotherapy-clinic-management-software\/\">Physiotherapy practice management software<\/a> covers the documentation, scheduling, and billing workflows behind rehabilitation care.<\/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>Comparing claims tools before you switch?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/claims-management-software-pabau-vs-waystar\/\">Pabau vs Waystar<\/a> weighs the two claims platforms on submission, tracking, and denial handling.<\/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>Billing for fracture immobilization supplies?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l0458\/\">L0458<\/a> explains how orthotic device coding is documented and reimbursed.<\/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-1786603295552\"><h3 class=\"schema-faq-question\">What does ICD-10 code S62.202P mean?<\/h3> <p class=\"schema-faq-answer\">ICD-10 code S62.202P is a billable diagnosis code for an unspecified fracture of the first metacarpal bone, left hand. It applies at a subsequent encounter where the fracture has healed with malunion. It is valid for the FY2026 edition effective October 1, 2025. The code covers follow-up visits where imaging or physician documentation confirms the fracture has united in a non-anatomical position.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603295553\"><h3 class=\"schema-faq-question\">Is S62.202P a billable ICD-10-CM code?<\/h3> <p class=\"schema-faq-answer\">Yes. S62.202P is a fully specified, billable ICD-10-CM code valid for HIPAA-covered transactions. The base code S62.202 is not billable on its own; it requires a 7th character extension to be submitted on a claim. S62.202P includes the required 7th character and can be used directly for reimbursement purposes.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603295554\"><h3 class=\"schema-faq-question\">What is the difference between S62.202P and S62.202K?<\/h3> <p class=\"schema-faq-answer\">S62.202P means the fracture has healed with malunion, so the bone ends have united in a non-anatomical alignment. S62.202K means nonunion, where the bone ends have not healed at all. Both require explicit physician documentation. Malunion and nonunion are clinically distinct and lead to different treatment pathways. The 7th character must reflect the diagnosis the treating provider documented.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603295555\"><h3 class=\"schema-faq-question\">When should I use S62.202P vs S62.202D?<\/h3> <p class=\"schema-faq-answer\">Use S62.202D when the fracture is healing normally at a subsequent encounter. Use S62.202P when the provider has documented that it healed with malunion. The distinction is based entirely on the documented healing status at each specific visit, per ICD-10-CM Official Guidelines. Coders cannot make this determination independently from clinical documentation.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603295556\"><h3 class=\"schema-faq-question\">What CPT codes are used with S62.202P?<\/h3> <p class=\"schema-faq-answer\">Common CPT pairings include 99213 for an established patient office visit and 26615 for open treatment of the metacarpal fracture. Physical therapy evaluations use 97161-97163. The CPT code depends on the procedure performed at the encounter, not on the ICD-10 diagnosis code. Always verify payer-specific medical necessity requirements before submitting.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603295557\"><h3 class=\"schema-faq-question\">How is malunion different from nonunion in fracture coding?<\/h3> <p class=\"schema-faq-answer\">Malunion means the fracture has healed but in an incorrect anatomical position (coded with 7th character P). Nonunion means the fracture has failed to heal and the bone ends remain separated (coded with 7th character K). Both are complications of fracture healing that typically require physician confirmation via imaging before the coder can apply the correct ICD-10 character. The WHO ICD-10 browser provides the international framework underpinning these classifications.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>S62.202P covers a left first metacarpal fracture healed with malunion at a follow-up visit. The 7th character P is what makes it billable.<\/p>\n","protected":false},"author":83,"featured_media":177192,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"92","_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-177193","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 S62.202P: Left First Metacarpal Fracture<\/title>\n<meta name=\"description\" content=\"Explore ICD-10 code S62.202P for fractures of the first metacarpal bone and its role 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. 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\\\/nl\\\/#\\\/schema\\\/person\\\/f2e43b25ed02313e8781f0f4507398b9\",\"name\":\"Anja Dodevska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@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\\\/nl\\\/blog\\\/author\\\/anja-dodevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295552\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295552\",\"name\":\"What does ICD-10 code S62.202P mean?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"ICD-10 code S62.202P is a billable diagnosis code for an unspecified fracture of the first metacarpal bone, left hand. It applies at a subsequent encounter where the fracture has healed with malunion. It is valid for the FY2026 edition effective October 1, 2025. The code covers follow-up visits where imaging or physician documentation confirms the fracture has united in a non-anatomical position.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295553\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295553\",\"name\":\"Is S62.202P a billable ICD-10-CM code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. S62.202P is a fully specified, billable ICD-10-CM code valid for HIPAA-covered transactions. The base code S62.202 is not billable on its own; it requires a 7th character extension to be submitted on a claim. S62.202P includes the required 7th character and can be used directly for reimbursement purposes.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295554\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295554\",\"name\":\"What is the difference between S62.202P and S62.202K?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"S62.202P means the fracture has healed with malunion, so the bone ends have united in a non-anatomical alignment. S62.202K means nonunion, where the bone ends have not healed at all. Both require explicit physician documentation. Malunion and nonunion are clinically distinct and lead to different treatment pathways. The 7th character must reflect the diagnosis the treating provider documented.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295555\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295555\",\"name\":\"When should I use S62.202P vs S62.202D?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Use S62.202D when the fracture is healing normally at a subsequent encounter. Use S62.202P when the provider has documented that it healed with malunion. The distinction is based entirely on the documented healing status at each specific visit, per ICD-10-CM Official Guidelines. Coders cannot make this determination independently from clinical documentation.\",\"inLanguage\":\"nl-NL\"},\"inLanguage\":\"nl-NL\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295556\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/diagnostic-codes\\\/icd-10-code-s62202p\\\/#faq-question-1786603295556\",\"name\":\"What CPT codes are used with S62.202P?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Common CPT pairings include 99213 for an established patient office visit and 26615 for open treatment of the metacarpal fracture. Physical therapy evaluations use 97161-97163. The CPT code depends on the procedure performed at the encounter, not on the ICD-10 diagnosis code. 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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\/nl\/blog\/author\/anja-dodevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295552","position":1,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295552","name":"What does ICD-10 code S62.202P mean?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"ICD-10 code S62.202P is a billable diagnosis code for an unspecified fracture of the first metacarpal bone, left hand. It applies at a subsequent encounter where the fracture has healed with malunion. It is valid for the FY2026 edition effective October 1, 2025. The code covers follow-up visits where imaging or physician documentation confirms the fracture has united in a non-anatomical position.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295553","position":2,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295553","name":"Is S62.202P a billable ICD-10-CM code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. S62.202P is a fully specified, billable ICD-10-CM code valid for HIPAA-covered transactions. The base code S62.202 is not billable on its own; it requires a 7th character extension to be submitted on a claim. S62.202P includes the required 7th character and can be used directly for reimbursement purposes.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295554","position":3,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295554","name":"What is the difference between S62.202P and S62.202K?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"S62.202P means the fracture has healed with malunion, so the bone ends have united in a non-anatomical alignment. S62.202K means nonunion, where the bone ends have not healed at all. Both require explicit physician documentation. Malunion and nonunion are clinically distinct and lead to different treatment pathways. The 7th character must reflect the diagnosis the treating provider documented.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295555","position":4,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295555","name":"When should I use S62.202P vs S62.202D?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Use S62.202D when the fracture is healing normally at a subsequent encounter. Use S62.202P when the provider has documented that it healed with malunion. The distinction is based entirely on the documented healing status at each specific visit, per ICD-10-CM Official Guidelines. Coders cannot make this determination independently from clinical documentation.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295556","position":5,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295556","name":"What CPT codes are used with S62.202P?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Common CPT pairings include 99213 for an established patient office visit and 26615 for open treatment of the metacarpal fracture. Physical therapy evaluations use 97161-97163. The CPT code depends on the procedure performed at the encounter, not on the ICD-10 diagnosis code. Always verify payer-specific medical necessity requirements before submitting.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295557","position":6,"url":"https:\/\/pabau.com\/nl\/diagnostic-codes\/icd-10-code-s62202p\/#faq-question-1786603295557","name":"How is malunion different from nonunion in fracture coding?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Malunion means the fracture has healed but in an incorrect anatomical position (coded with 7th character P). Nonunion means the fracture has failed to heal and the bone ends remain separated (coded with 7th character K). Both are complications of fracture healing that typically require physician confirmation via imaging before the coder can apply the correct ICD-10 character. 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