Pediatric Coding Alert
READER QUESTIONS:
Is a 'Greenstick Fracture' Open or Closed?
Published on Wed May 27, 2009
Question: A physicians note indicates a greenstick fracture. Should I use the ICD-9 code for a closed or open fracture? Online Subscriber Answer: You should assign the appropriate diagnosis for a closed fracture. A greenstick fracture is usually found in children because their bones are softer than adults. A greenstick is an incomplete closed fracture that disrupts the cortex as a partial break, often on an angle.
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