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Orthopedic Coding Alert

Case Study, Part 2:

Master Linking Numerous ICD-9 Codes in Multiple Procedure Cases

Published on Sat Jun 06, 2009

Avoid these ICD-9 codes when associated with compartment syndrome. Reread the multi-trauma example on page 69. This time, highlight the diagnoses you see, and connect them to your CPT codes. Then compare with our experts advice. Sort Out Your ICD-9 Options Based on the scenario on page 69, the physician indicated the following ICD-9 codes for the day of admission:  " 928.8 -- Crushing injury; multiple sites of lower limb
 " 825.0 -- Fracture of calcaneus, closed
 " 823.00 -- Fracture of tibia and fibula; upper end, closed; tibia alone
 " 813.05 -- Fracture ... head of radius
 " 810.00 -- Fracture of clavicle; closed; unspecified part
 " 958.92 -- Traumatic compartment syndrome of lower extremity. Watch out: You should not report 729.81 (Swelling of limb) and 782.0 (Disturbance of skin sensation). According to ICD-9 guidelines, you should not report these symptoms associated with compartment syndrome.
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