tci ED Coding & Reimbursement Alert - 2014 Issue 2

Reader Question: It's An Open And Shut Case For ED Presentations Of Closed Fracture Care

Question: I know I’ve seen this before, but I get confused with orthopedic procedures. What is the difference between an open and closed fracture treatment? California Subscriber Answer: You’ll need to know the difference between the two, because your code choice is based on whether the physician performed open or closed repair. According to the CPT® definition, fracture care should be described by the type of treatment provided and not by the type of fracture. Consider these definitions: Closed definition: When the emergency physician performs closed fracture treatment, it means that they did not have to surgically...

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