Wiki scaphoid fracture

[sumrgirl]

Hello list,
Please help! I'm trying to code a posting sheet for upcoming WC case - so no op note to go by...pt is scheduled for a Rt. scaphoid percutaneous screw fixation for a fracture. Fx occurred 8 wks ago, it's nondisplaced, but is not healing. I only see closed and open procedures, 25622 & 24 and 25628. Would you just go with 25628 for pre-cert purposes?

Also, since we're 8 wks out should I be using repair codes instead of Fx care? To make it more interesting, doc says it takes 12-16 wks to heal this type of fx so if it's only been 8 wks is it too soon to call it a nonunion? Yikes, I'm so confused!

Any help is GREATLY appreciated!!

TIA

Kristi

 

[mbort]

if its eight weeks out, I think its safe to say its a nonunion (its nondisplaced and not healing (for pre-cert purposes) and I would choose that

 

[sumrgirl]

So does 25400 sound better? And 733.82 as the dx? Thanks for your help

 

[mbort]

25440

 

[sumrgirl]

Thanks a bunch!