AHA Coding Clinic® for ICD-9 - 2013 Issue 4; Ask the Editor

Adjustment of Cast Following Treatment of Fracture

A patient suffered a styloid fracture of the left wrist and received a short arm spica cast on a previous emergency room (ED) encounter. The patient now presents to the ED complaining of pain to the left wrist. The emergency room provider documents “left wrist pain and tight short arm cast” as the clinical impression. The cast was bivalved and an Ace bandage was applied over the cast. Should the code for acute fracture or an aftercare V-code be assigned for this encounter? ...

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