tci ED Coding & Reimbursement Alert - 2018 Issue 4

You Be the Coder: Differentiate Open, Closed Fractures

Question: How can we tell the difference between an open fracture and a closed fracture? Supercoder.com Subscriber Answer: A closed fracture involves a broken bone that has not broken the skin. So, if there is no evidence of a breach of the skin in the encounter notes, you likely have a closed fracture claim on your hands. Conversely, an open fracture is when the bone has punctured through the skin or there is a significant break in the skin directly over the fracture site - not an abrasion or superficial laceration. As you might surmise, open fractures are...

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