AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor

Open Reduction Internal Fixation of Fracture with Debridement

A patient diagnosed with open forearm fracture of both bones and closed distal radioulnar joint dislocation underwent open reduction with internal fixation (ORIF) of the forearm bones, and manipulation of the dislocation. The provider documented that the wounds over the ulnar shaft were irrigated and debrided down to the bone. The ORIF and dislocation manipulation were then completed. Would it be appropriate to assign a code for the debridement in addition to the code for the ORIF and the manipulation?  ...

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