tci ED Coding & Reimbursement Alert - 2007 Issue 6

Reader Questions: Remember Dx Code on Your Nursemaid Elbow Treatment Claims

Question: Our ED physician treated a 3-year-old patient for nursemaid elbow. What procedure code represents this procedure, and what ICD-9 code should I report on this claim?Connecticut Subscriber Answer: You-ll report the procedure with 24640 (Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation).  On the claim, be sure to link 832.00 (Closed dislocation of elbow unspecified ) to 24640 to represent the patient's affliction. You-ll typically be able to report a separate evaluation and management code along with 24640, since the ED physician will take a history, examine the patient and...

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