ED Coding and Reimbursement Alert
Avoid Mix-Ups With Clavicle Fracture Repairs
Question: I’m having trouble keeping everything straight in the clavicular fracture repair code set. Could you give me a few tips on how to differentiate between these codes and use them correctly? Tennessee Subscriber Answer: Knowing the difference between open and closed treatment might appear to make this an open and shut coding case. You can’t, however, just rely on these treatment smarts to guide you to the proper clavicular fracture repair code; there are shades of difference throughout the clavicular fracture fix set, which stretches past 10 codes, including the following: Anatomy of the fracture: You’ll also need to know the difference between open and closed treatment to code correctly. In short, closed treatment occurs when the surgeon does not open the fracture site; they may or may not use manipulation during a closed treatment. Typically, the only type of fracture care performed in the ED would be a closed procedure, so you’ll select the appropriate code based on the documentation in that category, most likely.
Related Articles
ED Coding and Reimbursement Alert
- Toothache Coding:
Get the Scoop on Coding ED Toothache Visits
Patients with dental pain sometimes even arrive via ambulance. The symptoms can range from migraine [...] - ICD-10 Quiz:
Test Yourself: Do You Know These New Diagnosis Codes?
From vomiting to pressure ulcers, new codes debuted in October for these conditions. Although the [...] - Part B Coding:
Avoid Making Part B Errors With Tips Straight From the MACs
Avoid denials by implementing this simple action plan. Your ED likely has Medicare claim questions [...] - You Be the Coder:
Will You See Higher Pay for ED E/M Visits?
Question: A few months ago, you published an article noting that CMS was considering raising [...] - Reader Question:
Know what PHI Breaches Require
Question: If we think we may have breached a particular patient’s protected health information (PHI), [...] - Reader Question:
Avoid Modifiers on Unlisted Codes
Question: Our emergency department physician is performing multiple procedures during a trauma encounter. One of [...] - Reader Question:
Avoid Mix-Ups With Clavicle Fracture Repairs
Question: I’m having trouble keeping everything straight in the clavicular fracture repair code set. Could [...] - Reader Question:
Perform Some Sleuthing for Cardiac Arrest Dx
Question: If the ED physician documented that the patient has a diagnosis of cardiac arrest [...]
