Where does the shaft begin/end

christinnagle

Networker
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Fort Myers
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Where does the "shaft" begin/end in a long bone for coding purposes? Does anyone have any advice or doc they could share? Case example: Distal Radius and ulna fx. This dx is all I'm given on a reg basis. I assume "both bone fractures" means the shaft, but they don't pay me to assume. I've been taught that if the fx is above the growth plate, then it's in the shaft (for CPT coding) and then I use the approp dx for the distal fx.
TIA
 

campy1961

Guru
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Raytown, MO
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To get further information got to AAOS website, they have some great pictures. Never assume anything!!! If that is all your given, you need to make sure the documentation is correct with that dx code.
 
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