Wiki Help....7 th digit -a/d

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B
Code: S72.001A
Fracture of unspecified part of neck of right femur, initial encounter for closed fracture
Parent Code Notes: S72.0
Excludes2: physeal fracture of upper end of femur (S79.0-)
Parent Code Notes: S72
Excludes1: traumatic amputation of hip and thigh (S78.-)
Excludes2: fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)

Category Notes
Injuries to the hip and thigh (S70-S79)
Excludes 2: burns and corrosions (T20-T32)
frostbite (T33-T34)
snake bite (T63.0-)
venomous insect bite or sting (T63.4-)

Coding Guidelines
Injury, poisoning and certain other consequences of external causes (S00-T88)
Note: Use secondary code(s) from Chapter 20 , External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional code to identify any retained foreign body, if applicable (Z18.-)
Excludes 1: birth trauma (P10-P15)
obstetric trauma (O70-O71)

NishaJ

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:confused:
Patient was admitted with Femur neck fracture on right side, and physician performed an ORIF on 08/01/2016, and claim has billed with S72.001A for DOS 08/01/2016, and Patient has remained hospitalized for 08/02/2016 and discharged on 08/03/2016 .What will be the correct 7 th character for the DOS 08/02/2016 & 08/03/2016.
 

mitchellde

True Blue
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I disagree with the interpretation of my article. After the ORIF has been completed then you use subsequent. To check on the patient post operative, is subsequent whether the patient is inpatient or in the office.
 
Last edited:
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I disagree. After the ORIF has been completed then you use subsequent. To check on the patient post operative, is subsequent whether the patient is inpatient or in the office.
Perhaps my post was unclear. "If the provider is checking the status of the fracture on 8/2 and 8/3, then those would constitute active treatment, so A would be appropriate." I should have re-worded the next sentence to read "D is used when the active treatment has been completed and the patient is receiving routine care during the recovery or healing process, so if that's what was being done on 8/2 and 8/3, then D would be appropriate."

Sorry for the confusion.
 

TheStephCode

Networker
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Did healing begin?

If yes, it is subsequent. The threshold between "A" and "D" is the point at which healing begins.

If not, for instance the patient still needs surgery before the healing process can begin or the patient's fracture still needs to be set, then they are still receiving active treatment and would be coded as initial, "A".
 
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