tci ED Coding & Reimbursement Alert - 2012 Issue 5

Reader Question: Take a break to get support for multiple fracture code sequencing

Question: A patient came into our ED with multiple fractures. How do I know which one to report first on the claim?Nebraska SubscriberAnswer: When the physician treats patients with more than one fracture, you should first check to see whether any of the fractures are open or complicated by debris. If so, you'll need to list that fracture as the primary diagnosis. If no fractures fit that description, you should code the fracture of the longest or largest bone first. For example, if a patient has fractured both his femur and one of his fingers, you would report...

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