cdcpc
Networker
Hello ortho coders!
I code for family physicians so I don't typically use ortho codes on a daily basis. I'd like some advice for this scenario--my physician saw a patient in the ER with a shoulder dislocation. The patient has had several shoulder dislocations in the past.
Documentation states: "L Shoulder has anterior dislocation of the humeral head that is palpable and visible, it is tender for pt to have it moved but does not act in pain at rest. I attempted to reduce her shoulder using bed sheet pulling opposite in the linear direction of her humerus first w/o sedation then again with 0.25mg of IV ativan which did not sedate her and I was unsuccessful."
Can I use code 23650 even if the attempt was not successful? He did try the procedure twice with no success.
Any advice would be greatly appreciated
I code for family physicians so I don't typically use ortho codes on a daily basis. I'd like some advice for this scenario--my physician saw a patient in the ER with a shoulder dislocation. The patient has had several shoulder dislocations in the past.
Documentation states: "L Shoulder has anterior dislocation of the humeral head that is palpable and visible, it is tender for pt to have it moved but does not act in pain at rest. I attempted to reduce her shoulder using bed sheet pulling opposite in the linear direction of her humerus first w/o sedation then again with 0.25mg of IV ativan which did not sedate her and I was unsuccessful."
Can I use code 23650 even if the attempt was not successful? He did try the procedure twice with no success.
Any advice would be greatly appreciated