tci ED Coding & Reimbursement Alert - 2005 Issue 11

READER QUESTIONS: Consult Policy for Imcomplete Reduction

Question: A patient presented in the ED with a fracture of the tibia involving the medial malleolus. The ED physician consulted an orthopedist, who told her to reduce the injury as much as possible and send the patient to the orthopedic clinic, where the orthopedist would perform the rest of the care. The ED physician placed the patient under conscious sedation and reduced the fracture enough to make the patient comfortable. Due to the extent of the ligamentous damage, the ankle remained unstable and the joint continued to sublux significantly. The physician placed a splint to relieve the continued...

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