tfrick2
Networker
Would it be appropriate to code the following as fracture care (26605) in addition to the splint application (29125)?
HISTORY: A 26-year-old right-hand dominant male who sustained an index metacarpal shaft fracture 16 days ago.
PHYSICAL EXAMINATION: He is a little bit stiff in the fingers. There is no rotational abnormality. I did flex his MP and IP joints all the way down. He has sensation intact. A mild bump on the back.
RECOMMENDATION: I have told him that surgery is not necessary. He will have a permanent bump on the dorsum of the hand. We are going to get him into a radial-sided splint and have him come back in two weeks for x-rays with the splint off of the hand and early motion at that point. He is in a splint. He can be discharged. We will have him come back as dictated.
Thanks in advance!
Tracy
HISTORY: A 26-year-old right-hand dominant male who sustained an index metacarpal shaft fracture 16 days ago.
PHYSICAL EXAMINATION: He is a little bit stiff in the fingers. There is no rotational abnormality. I did flex his MP and IP joints all the way down. He has sensation intact. A mild bump on the back.
RECOMMENDATION: I have told him that surgery is not necessary. He will have a permanent bump on the dorsum of the hand. We are going to get him into a radial-sided splint and have him come back in two weeks for x-rays with the splint off of the hand and early motion at that point. He is in a splint. He can be discharged. We will have him come back as dictated.
Thanks in advance!
Tracy