AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor

Planned Implant Break

The patient had previously suffered a displaced comminuted fracture of the right tibial shaft after falling approximately 30 feet. At that time, the patient had open reduction and internal fixation of the fracture. The patient is now presenting for open removal of fixation hardware due to loosening of the screws. The orthopedist stated that loosening/breakage of the screws is an expected outcome, not a complication of the surgery. What are the appropriate ICD-10-CM/PCS code assignments for this admission? ...

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