Wiki Coding a Fracture

Create Wiki Sort by votes
L

Lulu20

New
Messages
6
Location
Heppner, OR
Best answers
0
This is regarding outpatient services- Can a MD code for a fracture without doing an X-ray first? I am not finding anything online saying that a fracture has to be proven by x-ray before it can be coded. And help on this would be greatly appreciated
 
0
Yes, the provider can code for a fracture in this instance. Per the ICD-10-CM Official Guidelines, Section I.A.19, "The assignment of a diagnosis code is based on the provider's diagnostic statement that the condition exists. The provider's statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis."

Hope this helps!
 
You must log in or register to reply here.
Top