Home Health ICD-9/ICD-10 Alert

Reader Questions:

Make This Fracture Coding Exception

Question: Should we always report an aftercare code in M0230 or M0240 for a patient with a fracture?

Arizona Subsciber

Answer: Most home health coders report one of the following orthopedic aftercare codes when a fracture is involved:

  • V54.1x - Aftercare for healing traumatic fracture

  • V54.2x - Aftercare for healing pathologic fracture

  • V57.1 - Other physical therapy.

    Exception: One time you would use an injury code rather than an aftercare code in M0230 or M0240 would be when the patient has a sprain rather than a fracture. Here, the acute condition still exists and was not resolved by surgery.



     

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