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scaphoid fracture

  1. #1
    Location
    Capital City Coders, Raleigh, NC
    Posts
    7
    Question scaphoid fracture
    Medical Coding Books
    Hello list,
    Please help! I'm trying to code a posting sheet for upcoming WC case - so no op note to go by...pt is scheduled for a Rt. scaphoid percutaneous screw fixation for a fracture. Fx occurred 8 wks ago, it's nondisplaced, but is not healing. I only see closed and open procedures, 25622 & 24 and 25628. Would you just go with 25628 for pre-cert purposes?

    Also, since we're 8 wks out should I be using repair codes instead of Fx care? To make it more interesting, doc says it takes 12-16 wks to heal this type of fx so if it's only been 8 wks is it too soon to call it a nonunion? Yikes, I'm so confused!

    Any help is GREATLY appreciated!!

    TIA

    Kristi
    Kristi, CPC

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    if its eight weeks out, I think its safe to say its a nonunion (its nondisplaced and not healing (for pre-cert purposes) and I would choose that

  3. #3
    Location
    Capital City Coders, Raleigh, NC
    Posts
    7
    Default
    So does 25400 sound better? And 733.82 as the dx? Thanks for your help
    Kristi, CPC

  4. #4
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    25440

  5. #5
    Location
    Capital City Coders, Raleigh, NC
    Posts
    7
    Default
    Thanks a bunch!
    Kristi, CPC

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