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Dreaded a vs d suffix

  1. #11
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    Columbia, MO
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    That is incorrect. The Ortho treating the malunion will use a P or Q or R as the 7th character for subsequent encounter for malunion. Or a K, M, or N for treating a nonunion.
    Last edited by mitchellde; 10-23-2018 at 02:07 PM.

    Debra A. Mitchell, MSPH, CPC-H

  2. #12
    Location
    Monmouth County
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    Ok...now I'm confused with the last comment from Debra. In any case, if a patient is seen for ankle sprain, only an exam was performed, do I use D given there was no active treatment?

  3. #13
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    the example was a pt is treated in the ER for a fracture and they use the A, then the patient is followed up with a different provider and they use the same injury code with a D, this is so far correct.
    the post went on to state......." but refers to an orthopedist for resetting a malunion, that orthopedist is going to switch back to an A " which is incorrect. A follow visit to treat a malunion is coded using the 7th character for the subsequent visit for malunion or non union which is the P, Q, R or K, M, or N depending on whether the original injury was closed or open or open type III.
    hopefully that helps to clear up the confusion.
    now your question was a diagnosed ankle sprain for which no treatment was prescribed.. remember active treatment is not always going to be as overt as surgery. If the provider told the patient to limit activity and elevate and ice the injury that still qualifies as active treatment if this is the initial presentation by the patient to obtain active treatment and not a follow up from the ER.

    Debra A. Mitchell, MSPH, CPC-H

  4. #14
    Location
    Monmouth County
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    Thank you everyone for your insight. All comments have been very helpful. One question though: If a Doc takes xrays, is that considered active treatment? I wouldn't think so.......

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