tci ED Coding & Reimbursement Alert - 2018 Issue 8

Reader Question: Know Which Fracture Dx to Apply

Question: We have a patient who underwent a 3-view ankle X-ray for a left, displaced lateral malleolus fracture in addition to a 2-view X-ray for left, upper end fibular fracture. Should I include both diagnoses codes on both procedures? Subscriber Answer: In your example, you should not designate both diagnosis codes to both procedures, despite the fact that the fractures are within close proximity to one another. Just as you would if the provider performs the X-rays on entirely separate anatomic sites (i.e. left leg, right leg), you will only apply the diagnosis relevant to each...

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