tci ED Coding & Reimbursement Alert - 2002 Issue 12

Reader Questions: Dislocation and Fracture Care

Question: A patient presents with a fracture of the ankle. It was severe enough to compromise the circulation to the foot. When caring for the fracture dislocation, the emergency physician reduced the dislocation immediately. The orthopedist then took the patient to the OR for further treatment. Which CPT codes are more appropriate: fracture care, or reduction of dislocation? Can I code for both? Mississippi SubscriberAnswer: You should code and bill only for the reduction, e.g., 27846 (Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation). Do not code for fracture care...

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