tci ED Coding & Reimbursement Alert - 2002 Issue 8

Reader Question: Epicondyle Fracture

Question: I am coding a radiology report written by our ED physician that says, "Posterior dislocation of the radial ulnar unit with respect to the distal humerus, associated with a joint effusion and avulsions of the lateral epicondyle and ulnar coronoid process." Postreduction, the report reads, "Radial ulnar unit has been relocated and articulates with the distal humerus. Olecranon fragment remains a few millimeters distally offset. The lateral epicondyle seems realigned." Which of the fracture treatment codes is appropriate in this case? Maine SubscriberAnswer: This report refers to both a dislocation and fracture within the elbow area...

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