tci ED Coding & Reimbursement Alert - 2018 Issue 6

Reader Question: Don't Forget Seventh Character for Fractures

Question: We treated a patient with multiple fractured ribs and we reported a six-character code, but the claim was denied because we should have billed a seven-character diagnosis. We didn't see a seventh character option. Can you advise? Supercoder.com Subscriber Answer: When your physician treats multiple rib fractures, you'll likely link the CPT® code to a diagnosis code in the S22.4-- group, depending on the laterality and number of fractures: These ICD-10 codes are: S22.41-- -  Multiple fractures of ribs, right side S22.42-- - Multiple fractures of ribs, left side S22.43-- - Multiple...

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