Wiki Need Help with Diagnosis for a Cast Issue Following a Fracture

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I am uncertain how to assign a diagnosis code for an encounter where the patient presents to the ER for swelling and pain following placement of a cast for a fracture. They removed the cast. Would it be encounter for fitting and adjustment of other devices, a mechanical complication or the fracture code with seventh character "d"?

Any help is greatly appreciated!!
:confused:
 
Justbthe fx code with a 7thncharacter indicating subsequent. There is no mechanical complication and you do not use aftercare Z codes formnjury aftercare.
 
Thanks so much! I wasn't sure since it was a cast that was too tight and had to be removed, but I was leaning towards the fracture code with subsequent encounter.
 
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