tci ED Coding & Reimbursement Alert - 2009 Issue 10

You Be the Coder: Multiple Fracture Accident Patients

Question: A 30-year-old female presents to a rural ED with several injuries after the all-terrain vehicle she was driving overturned. During a level-five ED E/M service, the physician diagnoses a fractured metacarpal shaft in her left hand and a fractured left femur. The ED physician provides closed manipulative treatment for each fracture. How should I code this scenario? Tennessee Subscriber Answer: Report the most severe fracture first, and make sure that you append a surgical modifier to the treatment codes. To make things easier, we'll list the appropriate CPT codes first, then the ICD-9 codes. CPT coding: On the...

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