AMA CPT® Assistant - 2015 Issue 8 (August)
CPT Coding for Rib Fracture Care (August 2015)
August 2015 page 3 CPT Coding for Rib Fracture Care For the 2015 CPT® code set, four Category III CPT codes (0245T-0248T) were converted to three new Category I CPT codes (21811-21813) to report open reduction and internal fixation of rib fractures. This article addresses the deletions and additions made to this set of musculoskeletal codes. Code 21800, which previously described closed treatment of rib fracture, uncomplicated, was deleted because the standard practice no longer includes using strapping or rib belts as closed treatment for rib fractures. Currently, the predominate treatment for this type of fracture is pain control...
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Article Overview
This article explains a 2015 CPT update focused on rib fracture care. It is relevant to coders, billers, and compliance staff working with musculoskeletal and thoracic procedures because it summarizes code deletions, additions, and related guidance for reporting rib fracture treatment.
Why This Topic Matters
Rib fracture coding changed in 2015, and the article helps readers understand which CPT musculoskeletal codes were removed, which new codes were introduced, and how the update affects reporting for thoracic rib fixation services.
Article Sections
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CPT Coding for Rib Fracture Care
Overview of the 2015 CPT update affecting rib fracture care and musculoskeletal procedure reporting.
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New Codes
Summary of the revised code set and the general reporting structure introduced for these procedures.
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Fracture and/or Dislocation
Placement of the updated rib fracture codes within the broader musculoskeletal section and related cross-references.
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Coding Tip
General guidance on how the updated rib fracture procedure codes are categorized for reporting purposes.
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Clinical Example (21811)
A case illustration and associated procedural narrative for one of the revised rib fracture fixation codes.
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Description of Procedure (21811)
Procedural narrative corresponding to the first rib fracture fixation example.
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Clinical Example (21812)
A case illustration and associated procedural narrative for another revised rib fracture fixation code.
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Description of Procedure (21812)
Procedural narrative corresponding to the second rib fracture fixation example.
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Clinical Example (21813)
A case illustration and associated procedural narrative for the highest rib-count fixation code.
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Description of Procedure (21813)
Procedural narrative corresponding to the third rib fracture fixation example.
What You Will Learn
- How the 2015 CPT update changed rib fracture care reporting
- Which musculoskeletal procedure codes were deleted and which were added
- How the article frames reporting guidance for thoracic rib fixation services
- What topics are illustrated through the included clinical examples and procedure descriptions
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Orthopedic and thoracic coding staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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