Question on fractures

calicoder10

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I have a question regarding 2 situations with fractures.

1. Patient with buckle fracture of the distal ulna, closed reduction performed. Is there a separate CPT code only distal ulna or would I use 25600 ??

2. Patient has a displaced comminuted fractures of the metaphysis of the radius and the ulna and a nondisplaced fracture of the ulnar styloid(25650). A closed reduction of the comminuted fractures were performed but the there was still some displacement of the radius fracture. So how would I code the comminuted fractures? 25605-52 for radius? and what about the ulna?

Any help is appreciated.

Thanks :confused:
 

kivbar16

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Are you coding these in the Emergency Department (that is where this is posted; your user ID identifies you as an ER coder)? If so, I would be leery of coding these w/ the global surgery codes. These codes indicate your provider is doing all follow up care within the 90 day period. From my experience, that isn't the case with ED visits. You'd be best to code these w/ E&M codes, if your provider has enough in his note to get a level (that, too, could be a problem).

Just my two cents.
 
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