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Wiki Posterior malleolous fx icd-9 help please

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colham478

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PT HAS TWO DX LISTED -

1. RIGHT TIBIAL FX JUNCTION OF MIDDLE AND DISTAL THIRDS --- I'M USING 823.20

2. POSTERIOR MALLEOLAR FX RIGHT ANKLE

SURGEON IS BILLING 27767 FOR CLOSED TX OF POSTERIOR MALLEOLAR FX W/O MANIP SO I REALLY WANT TO GET THE RIGHT DX FOR THE FX.

SHOULD I USE 824.8- UNSPECIFIED, CLOSED (ANKLE NOS) ?? OR 824.0 - MEDIAL MALLEOLUS (TIBIA INVOLVING ANKLE, MALLEOLUS)?? I'M TORN.

THANKS IN ADVANCE!!
ps... please excuse my spelling today... its been one of those mondays! :o
 
824.8 is correct. You cant use 824.0 (Closed fracture of medial malleolus) because it is for medial malleolus. I would throw away that "ingenix coding companion " if it really states to use 824.0 for posterior malleulus:)
 
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