tci Part B Insider - 2015 Issue 34

Here Are Your Seventh Character Possibilities for Fracture Codes

Your physicians need to document according to the Gustillo classification. The first code (M84.551A) mentioned in the article “2 Scenarios Untangle Your Pathologic/Traumatic Fracture Code Diagnoses” has a seventh character of A. In the second solution, code S82.852K has a seventh character of K. Do you know the difference? You need to be careful about your seventh characters. In the pathological or stress fracture category (M84.3-M84.6), you have the following options: A – Initial encounter for fracture D – Subsequent encounter for the fracture with routine healing G – Subsequent encounter for the fracture...

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