Coding Challenge

Check for Fracture Diagnosis Before Coding Repair

Don’t code a closed fracture treatment code without more information.

Question: Our orthopedist saw a patient in the emergency department for a gunshot wound and diagnosed a metacarpal fracture. He irrigated the site and removed a foreign body. Can we...

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April 22, 2010
Coding Challenge

Neurosurgery Coding: Previous Injury Means Multiple Dx Options

Find out what additional information V codes provide to the payer. Question: We have a patient with previous spinal injury that is now causing neck pain. How should I code the diagnosis? North Carolina Subscriber Answer: Document and code prior conditions that contribute to a patient’s current complaint — if they affect the management of the current condition. Prior trauma, [...] Related articles:

  1. ICD-9 2010: More Coding Options for Brain Injury Check out V80.01 and V80.09 for special screenings. The...
  2. Dx Coding Moves That Stop Denials for Chronic Pain ClaimsTip: Code prior conditions in these cases. Imagine your pain...
  3. How Do I Code This Multiple Fracture Accident Patient?Question: A 30-year-old female presents to a rural ED with...

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February 15, 2010
Coding Challenge

Closed Treatment of Fracture Great Toe – Codes 28490

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October 27, 2009
Hot Coding Topics / modifier 54 / modifier 57

Fracture Care Coding: Mark Manipulation, Make $100+ More Per Encounter

No maybes here: Answer this question wrong and you will code incorrectly. When your ED physician performs fracture care for a patient, be ready to pounce on evidence of manipulation, as CPT often breaks fracture care codes along the manipulation line. The $kinny: Let’s say the physician performs closed treatment on a fractured collarbone; if she uses [...] Related articles:

  1. How Do I Code This Multiple Fracture Accident Patient?Question: A 30-year-old female presents to a rural ED with...
  2. Sort Out This ER, Then Assumed Care ScenarioQuestion: My orthopedist treated a patient who was first seen...
  3. Weber B Fracture Repair: 27786, 27788 or 27792?Question: Which CPT and ICD-9 codes should we report when...

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October 12, 2009