tci ED Coding & Reimbursement Alert - 2020 Issue Q3

You Be the Coder: Can You Sequence Orbital Fracture Codes?

Question: When coding multiple specified fractures on the same orbit, should we you use one code or code each specific fracture on the same orbit? Answer: The answer will depend on how the physician documents the fractures in the record. ICD-10-CM Official Guidelines indicate, “Multiple fractures are sequenced in accordance with the severity of the fracture.” If the physician has just evaluated the patient for the fractures to make sure no surgery is indicated, the most severe fracture would be sequenced first, with the remaining fractures coded in hierarchical order. For instance, if a patient presented to...

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