Here is the Op... How can this be billed?
Dx: Grade 2 open fracture of proximal humerus on left side.
Operation: Debridement, reduction, and percutaneous Rush pins insertion, open fracture left arm (humeral neck)
We explored the fracture briefly, and it did definitely go all the way to the Bone. There was a large spike anteriorly.
It was very unstable. There was no way that it was going to hold without some sort of fixation. I felt that she would be better off Even a provisional fixation just to hold things while it healed.
Her wound was washed out with 6000 ml of sterile saline. Then under fluro guidance, we put two Rush pins down the humerus pins went down through the proximal fragment and then across the fracture, into the long distal shaft fracture fragment. At first pass, they were not quite well positioned as I liked, so they were both pulled out and realigned. I felt the final positing was satisfactory for her to heal this fracture.