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Finger Fracture with a Laceration

  1. #1
    Default Finger Fracture with a Laceration
    Medical Coding Books
    I need some help with this, as I don't do much ortho coding.
    A pt comes in with a subungual hematoma, which he has already drilled a hole in. A xray shows a chip fracture of the distal phalanx. The doctor then removes the nail, and discovers a laceration to the nail bed, which he repairs.
    The doctor states that this is an open fracture since the patient had the laceration.
    Do I code this as a open treatment? 26765
    Is the nail removal included?
    How about the laceration repair?

    Thank you for any help you can give me!

  2. #2
    yes to open treatment. I believe that you can capture the nail removal, but you should check the CCI edits to confirm that as well as the laceration repair.

    Mary, CPC, COSC

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