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Orthopedic Coding Alert

Coding Tactics:

Follow These Can't Miss Strategies For Coding Open Fractures of Tibial Shaft

Published on Mon Jul 11, 2011

Hint: Nails and fixators are the best guides. In the May issue of Orthopedic Coding Alert, we learned about selecting the codes for the closed fractures of the tibia. The tibia is also highly subject to open fractures as the trauma that causes the fractures also may disrupt the skin and the covering muscles and other tissues. In this issue, we shall review some important tips to appropriately report these open tibial procedures.Why Open Fractures?Open fractures in the tibial shaft are usually due to high-energy trauma. Such fractures are at an increased risk of infections and wound complications due to the contamination and devitalization of the soft tissues. So, besides fracture healing, the treatment is also directed at wound closure, infection prevention, restoration of stability, and return of function.Look For the Nails and ImplantsYou would code 27758 (Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, [...]
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