tci ED Coding & Reimbursement Alert - 1999 Issue 10

Understanding Treatment is Key to Correct Coding for Repair of Fractures and Dislocations

The first issue of ED Coding Alert (December 1998) covered the correct way to report ED physician treatment of orthopedic injurieswhen to use orthopedic codes vs. evaluation and management (E/M) codes.However, when the ED physicians repair of a fracture or dislocation is reported with an orthopedic code, assigning the correct code is often a problem. For instance, the physician performs repair of a distal phalangeal fracture of a patients right index finger. Should the code assigned be 26750 (closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each); 26755 (with manipulation, each); 26756 (percutaneous skeletal fixation...

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