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Fracture with dislocation

  1. #11
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    Greeley, Colorado
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    Medical Coding Books
    Don't you just love how certain statements in coding can be interpreted differenty? Makes our job that much more difficult. However it does make us use our noggins!!
    Lisa Bledsoe, CPC, CPMA

  2. #12
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    Quote Originally Posted by ARCPC9491 View Post
    Fracture/dislocation
    A fracture-dislocation of the same site is coded using the fracture code. It is incorrect to use an additional code for the dislocation. Likewise, reduction of the fracture-dislocation is coded using only the code for the reduction of the fracture. (See Coding Clinic, third quarter 1990, page 13.)

    here's a different source:

    http://www.cdphe.state.co.us/em/trau...VICD9codes.pdf
    I agree with ARCPC,

    AHA guidelines state dislocation is inclusive with fracture episode when occuring around same location. Reduction of dislocation is inclusive with reduction of fracture. But then anything could be coded in the clinical-payer side so I guess it doesn't really matter.

    JoeytheShark, CPC, CCA
    Last edited by 007CPC; 04-01-2009 at 08:58 AM.

  3. Default
    This was great input, thank you all... and thank you for the fracture information. IT's wonderful ... I've printed it out to use as a reference FOREVER !!!!

  4. Default
    Quote Originally Posted by Lisa Curtis View Post
    Dislocations occur at the joint; fractures occur to the bone itself. I would code both.
    Lisa - when you look up fracture in the ICD-9 book, in parentheses next to the word fracture is dislocation. Dislocation is included in the fracture code and therefore does not need to be listed separately (unless there are two anatomical sites being treated). Does this help?

    LaSeille Willard, CPC

  5. Thumbs up icd
    Quote Originally Posted by Sephardic View Post
    Is it appropriate to code for a fracture and a dislocation of the same bone, or should you just assign the DX for the fracture?
    Thanks in advance?
    Hi

    if dislocation and fx are same site code only because dislocation included in FX icd

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