tci ED Coding & Reimbursement Alert - 2019 Issue Q4

Reader Question: Evaluate Code Options for Multiple Fractures

Question: When a patient reports with multiple fractures, how does the coder decide which fracture to report first? Illinois Subscriber Answer: You’ll list the fracture treatment code with the highest relative value units (RVUs) first, with each fracture treatment thereafter listed in the order of RVUs. Example: The ED physician performs repair of a closed tibial shaft fracture using manipulation and skeletal traction; he also performs closed repair of a nondisplaced fracture of the patient’s distal radius without manipulation. You’d report 27752 (Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with...

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