Wiki Fractures

solocoder

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Can someone clarify something for me in the code selection process for fractures? Provider documents: comminuted spiral fracture of the lower metadiaphysis of the fibula. I could code it as comminuted, or spiral, or lower end. Does one of those characteristics or location take precedence over the others? Or do I use 3 different codes to cover everything in his description?
 
Dx for Spiral Fracture

Hi Solocoder

Ensure you select proper leg bone, which side of body, is it a new initial or subsequent check on fracture? I would use dx. blocks from S82. Also how did this ocurr..you need to add that on the claim such as Car accident, fell off bike, tripped, fell off ladder POC place of occurrence located those ICD10 diagnosis codes plus add the date incident occurred on the claim. I am hoping the doc put this in his notations.
Have a good day!
Lady T
 
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