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Wiki Pathological fracture requiring surgery

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biggiesgirl

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Looking for some guidance on coding a pt that returned to the SNF after a fall with fracture. Pt has osteoporosis and it was a femur fracture, it was surgically repaired. I'm thinking it is M80.051D, therapy is telling me it Z47.89, because a pathological fracture is not a traumatic fracture. Please advise. Thank you
 
biggiesgirl said:
Looking for some guidance on coding a pt that returned to the SNF after a fall with fracture. Pt has osteoporosis and it was a femur fracture, it was surgically repaired. I'm thinking it is M80.051D, therapy is telling me it Z47.89, because a pathological fracture is not a traumatic fracture. Please advise. Thank you
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If you look at the beginning of the Z47 codes in the ICD-10 Coding Manual at the Excludes 1 - it states "aftercare for healing fracture - code to fracture with 7th character D. So whichever fracture dx code was used previously for the first visit should be reused with 7th character D. I hope this helps!
 
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