Well you can't pay any attention to the verbiage "likely to...". So you would have to just use 'scaphoid fracture' and also not use 'indeterminate age', and since it isn't open (otherwise doc wouldn't have to 'rule out' - which is a no-no for outpatient coding).. you'd probably use 814.01. If you're in a facility and this is outpatient x-ray... you'll need to get with the doctors office to get a better admitting diagnosis, like wrist pain or wrist injury.
What do others think? Am I on the right track?
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