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AHA Coding Clinic® for ICD-9 - 1986 September - October

Guidelines for Multiple Fractures

The principle of multiple coding of injuries should be followed in coding multiple fractures: Multiple fractures of specified sites are coded individually by site in accordance with both the provisions within categories 800-829 and the level of detail furnished by medical record content. Combination categories for multiple fractures are provided for use when there is insufficient detail in the medical record (such as trauma cases transferred to another hospital), when the reporting form limits the number of codes that can be used in reporting pertinent clinical data, or when there is insufficient specificity at the fourth-digit or fifth-digit level...

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