CVANE
New
Correct Coding of Staged Procedure:
DX: 821.33 Open supracondylar fracture femur
(motorcycle accident)
Stage 1: ORIF of femoral supracondylar; ID skin, muscle, bone; implant antibiotic cement spacer. (patient with significant bone loss)
Stage 2: ID skin, muscle, bone; removal of antiobiotic cement spacer; insertion of bone graft substitute (Stryker HydroSet 15ml)
Note: Patient opted for the bone graft substitute in lieu of an autogenous graft. Trauma case studies show the rate of infection to be lower with a bone graft substitute than an iliac crest graft. Stage 2 was performed 4 days after Stage 1.
DX: 821.33 Open supracondylar fracture femur
(motorcycle accident)
Stage 1: ORIF of femoral supracondylar; ID skin, muscle, bone; implant antibiotic cement spacer. (patient with significant bone loss)
Stage 2: ID skin, muscle, bone; removal of antiobiotic cement spacer; insertion of bone graft substitute (Stryker HydroSet 15ml)
Note: Patient opted for the bone graft substitute in lieu of an autogenous graft. Trauma case studies show the rate of infection to be lower with a bone graft substitute than an iliac crest graft. Stage 2 was performed 4 days after Stage 1.