tci Part B Insider - 2005 Issue 3

Part B Coding Coach: Don't Stand for a Breakdown in Your Fracture Care Coding

Follow these 3 tips for frustration-free care claims.If carriers are finding fault with your fracture care claims, you can break the pattern by mastering fracture ICD-9 coding and knowing how to distinguish between open and closed fractures. Use these three expert tips to make your fracture care coding a snap. 1. Keep an eye on ICD-9 fourth and fifth digits. Incorrect diagnosis coding is one of the primary reasons for claim denial in fracture care, says Elisabeth P. Fulton, CPC, coding and auditing department supervisor at Orthopedic Specialists of the Carolinas in Winston-Salem, NC. When coding fractures, you...

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