tci ED Coding & Reimbursement Alert - 2007 Issue 5

READER QUESTIONS: In the ED, Physicians Usually Perform Closed Treatment

Question: 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 CPT code choice is based on whether the physician performed open or closed repair.Closed definition: When the physician performs closed fracture treatment, it means that she did not have to surgically open the fracture site in order to repair the break. So if the operative report indicates that the physician performed closed treatment of a patient's broken rib, you-d report 21800 (Closed treatment of rib fracture, uncomplicated, each) for the repair.Open...

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