AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2012 Issue 4; Ask the Editor - ICD-10-CM/PCS

Initial Encounter for Fracture Malunion

A patient fell and sustained a fracture of his left wrist but did not seek medical treatment for some time. He now seeks treatment for the first time and he is diagnosed with malunion of closed fracture of the navicular bone, left wrist. Please provide clarification on the appropriate seventh character since this is an initial encounter, but malunion is identified with the seventh character for subsequent encounter, “P,” subsequent encounter for fracture with malunion.” ...

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