AHA Coding Clinic® for ICD-9 - 2008 Issue 3; Ask the Editor

Chronic Vertebral Compression Fracture

When a patient is in a skilled nursing facility (SNF) for multiple problems including a chronic vertebral pathological fracture with orders for pain medication, what is the appropriate code to assign to identify the chronic pathological vertebral fracture? We are confused regarding whether code V54.27, Aftercare for healing pathologic fracture of vertebrae, code 733.13, Pathologic fracture of vertebrae, or code 338.2, Chronic pain, should be assigned in this case. ...

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