J20.9 - Acute bronchitis, unspecified

Clinical Definition

A fracture of the fifth metatarsal base is a break in the proximal portion of the bone that connects the midfoot to the little toe. Jones fractures specifically occur at a high-stress area of the fifth metatarsal base, approximately 1.5-2.5cm distal to the proximal tuberosity.

Documentation Requirements

• Anatomical Location:

  • Must specify "fifth metatarsal"

  • Proximal vs shaft location must be noted

  • Laterality (right vs left foot) required

• Fracture Characteristics:

  • Type (stress, acute, avulsion)

  • Displacement status

  • Initial vs subsequent encounter

  • Healing status (routine, delayed, nonunion)

• Associated Conditions:

  • Any concurrent foot injuries

  • Presence of open wound

  • Neurovascular status

Common Synonyms

• Dancer's fracture

• Football fracture

• Basketball fracture

• Jones fracture (if in specific zone)

• "Broken foot bone near little toe"

Coding Conflicts

Excludes1:

• Fractures of other metatarsal bones (different code series)

• Stress fractures (use M84.37-)

Excludes2:

• Malunion/nonunion of fracture (use separate code if applicable)

Scribing.io Automation

The AI scribe automatically detects key documentation elements including:

• Location descriptors ("fifth metatarsal," "proximal," "base")

• Fracture characteristics ("displaced," "nondisplaced")

• Encounter type markers ("initial," "subsequent," "sequela")

• Laterality terms ("right," "left")

• Treatment details for correct 7th character assignment

Keywords are flagged in real-time to ensure complete documentation for accurate code assignment.