Orthopedic Coding Alert

Question: We need an ICD-9 code for plastic deformation of the radial and ulnar shafts. Is 813.23 (Fracture of shaft of radius with ulna closed) correct or would another code be more appropriate?

North Carolina Subscriber

Answer: You are correct in reporting the plastic deformity of the radial and ulnar shafts with 813.23. Plastic deformity is a curved deformity of the forearm without a through and through fracture. The bone is bent without disruption in the cortex of the bone as in a standard fracture. This is invariably treated with closed reduction and casting.