AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

7th Character Default for Gustilo-Anderson Classification

When a patient is seen for a subsequent encounter for an open fracture, and there is no known information regarding the original Gustilo-Anderson classification, what is the appropriate 7th character? For example, under category S52-, Fracture of forearm, the Tabular List defaults “initial encounter for open fracture NOS” to the 7th character “B” initial encounter for open fracture type I or II.  Can the same default for type I or II be used for subsequent encounters? ...

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