tci ED Coding & Reimbursement Alert - 2002 Issue 8

Cast Away Your Fracture Coding Confusion

" Fracture care is one of the most common procedures performed in the ED, yet many EDs barely break even treating these and other types of orthopedic injuries. To avoid denials and unnecessary fee reduction, coders must know whether the physician provided restorative or definitive care, or whether the patient was only stabilized and referred out.Identify Fracture Type The ED physician typically identifies the injury's type and location. You can locate diagnosis codes for traumatic fractures in ICD-9's injury and poisoning section, where they are classified according to body area. The ICD-9 code's fourth digit signals whether the...

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