Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci ED Coding & Reimbursement Alert - 2014 Issue 8
What is the Gustilo Classification?
The Gustilo open fracture classification groups open fractures into three main categories designated as Type I, Type II, and Type III. Type III injuries, is further divided into Type IIIA, Type IIIB, and Type IIIC. The categories are defined by three characteristics, which include:
Mechanism of injury
Extent of soft tissue damage
Degree of bone injury or involvement
The specific characteristics for each type are as follows:
Type I
Wound < 1 cm
Minimal soft tissue damage
Wound bed is clean
Typically low-energy type injury
Fracture type is typically one of the following:
Simple transverse
...
To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.
You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.
Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1998 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com