You Be the Coder:
Confirm Complications in Hardware Removal
Published on Mon Jan 21, 2013
Question: In a patient who has previously undergone ‘closed reduction and percutaneous pinning of right proximal humerus fracture’ and is now diagnosed a symptomatic hardware, our surgeon did a hardware removal. The procedure has been documented as ‘Hardware removalx3.’ The operative note reads as below: "The patient was taken to the operating room and IV sedation was administered. Pins were [...]