Radiology Coding Alert

Question: How should I report the following case? The radiologist interpreted oblique, AP, and lateral views of the left elbow. The findings state the patient had a mildly displaced fracture of the supracondylar portion of the distal humerus.

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Answer: For the three-view elbow X-ray, you should report 73080 (Radiologic examination, elbow; complete, minimum of 3 views). The appropriate diagnosis code is 812.41 (Supracondylar fracture of humerus; closed).

X-ray: For elbow imaging, you may be more likely to see two views than to see a single view or three views.Anteroposterior (AP) and lateral views of the elbow may suffice to show the joint integrity and identify fractures and loose bodies. But the treating physician may order a complete exam (three or more views) if she wants to be sure to catch any fine fractures.

Fracture: Code 812.41 is specific to a closed supracondylar humerus (upper arm bone) fracture. These are more common in children than adults and may result from an outstretched hand used to break a fall. The fracture is located just above the elbow joint.