Results 1 to 2 of 2

7th character - malunion - 1st office visit

  1. #1
    Default 7th character - malunion - 1st office visit
    Medical Coding Books
    Good Morning:

    If a patient presents to an ortho office with a malunion of the radial shaft....AND

    ................it is the 1st visit for the patient to this office....AND

    ................the patient has not had ANY prior treatment of any kind for this fracture.....

    would I use 7th character A?

    If the patient has had treatment with another physician for a fracture, then sees a new practice altogether and had a malunion...would I then use 7th character K as the patient has previously had treatment even though it was with a different physician.

    Many thanks to whomever can help!
    M

  2. Default
    I believe you would use "A" as the 7th character in the instance you are talking about.

    The "A" is used during "active treatment" of the injury, whether or not the patient's already been treated by another provider for the same injury. When the active treatment is completed, and the case goes into "healing phase", then you'd use the "D".

    There is specific information regarding malunion/nonunions in the ICD-10 book. Look at the Guidlelines for Chapter 19 - Section c, Paragaph 1. As a matter of fact, the example they give sounds very similar to your question.

    There is also a good, relatively recent, article on this subject at: http://ionhealthcarepulse.com/2016/09/29/new-guidance-on-7th-characters-a-vs-d-in-icd-10-cm/


    I hope this helps.

    - Mike, CPC, CPB

Similar Threads

  1. 7th character A versus the 7th character D
    By SirishaCOC in forum Outpatient Facilities
    Replies: 2
    Last Post: 09-09-2016, 09:28 AM
  2. 7th character help for injury codes
    By jackiemal in forum ICD-10
    Replies: 1
    Last Post: 05-20-2016, 08:13 AM
  3. 7th character question....
    By tmarugg in forum ICD-10
    Replies: 1
    Last Post: 10-14-2015, 02:30 PM
  4. Icd10 7th character
    By kimiann1970 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-30-2015, 10:03 AM
  5. ICD 10 ch. 19 7th character A vs D
    By Latosha.Page in forum ICD-10
    Replies: 2
    Last Post: 04-19-2013, 06:30 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.