tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Question: Drill Down to Find Proper Neck Fx Dx

Question: Encounter notes indicate that the ED physician treated a patient with severe neck pain. Final diagnosis was a fracture of the first cervical vertebra. How should I report this encounter? New Jersey Subscriber Answer: You’ll start at S12.0- (Fracture of cervical vertebra and other parts of neck) — but that’s not where you’ll finish. Go back and check the notes for the following information on the patient’s injury: What type of fracture did the surgeon treat? Open, closed, displaced, nondisplaced, stable burst, unstable burst. etc. What treatment stage was the encounter for? Initial...

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