tci ED Coding & Reimbursement Alert - 2014 Issue 8

Fracture Tool: List Summarizes 7th Character Extensions

Let these examples of the 7th character extensions for fractures that do not use Gustilo classifications and those that do guide your coding. See the descriptions below. Category S42 Category S42 (fracture of shoulder and upper arm) does not require Gustilo classifications and the 7th character extensions are as follows: A  Initial encounter for closed fracture B  Initial encounter for open fracture D  Subsequent encounter for fracture with routine healing G  Subsequent encounter for fracture with delayed healing K  Subsequent encounter for fracture with nonunion P  Subsequent encounter for fracture with malunion S...

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