Wiki ORIF WITH PERCUTANEOUS PINNING

[RebeccaMoney]

First, patient has a right fourth mcp fracture dislocation. Is it a fracture or a dislocation?
Second, do I bill and ORIF (26615)or a percutaneous pinning(26608) for fracture or do I bill percutaneous pinning dislocation ( 26676) or ORIF dislocation (26785)? Thanks,

 

[iowagirl77]

If you were to look up the diagnosis under dislocation, it states underneath in the index 'with fracture- see Fracture'. So I would just code it as fracture. With that said, you can then rule out the dislocation CPTs. Whether you choose 26615 or 26608 is dependent upon what was done.