Results 1 to 2 of 2

Wound closer open fracture

  1. #1
    Question Wound closer open fracture
    Exam Training Packages
    Got a question. There is an ER physician that did an closed reduction on an open dislocation. The coders in the ER are billing 26770 for the closed reduction of an open dislocation to an interphalangeal joint. They are also trying to bill 12001 for the closure of the wound. They are bundled it appears and I'm being asked by the insurance billers to take a look at it, but I have little experiance with ortho coding.

    Is the closure included in the reduction. I can't find anything stating that is but that is my assumption. I see a note in the CPT book about being able to bill for debridement of dislocations and fractures. As far as I can tell this was a clean dislocation. He reduced the dislocation and sewed him up.

    (or should this be coded as an open reduction? I understand the doctor has to surgically open him up but would that be the right answer?)

    Thanks in advance!

  2. #2
    yes all closure except complex is included in the global package and this looks like a simple repair i would also stick with the 26670 as the doctor did not make an incision.
    hope this helps
    Last edited by michellelgrd; 09-01-2009 at 10:00 AM.

Similar Threads

  1. Complex wound repair of open fracture
    By CJames72 in forum Orthopaedics
    Replies: 2
    Last Post: 03-12-2012, 12:45 PM
  2. Open wound mean open trtmt of fracture?
    By hencked in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 02-12-2010, 08:58 AM
  3. Open wound mean open treatment of fx?
    By hencked in forum Orthopaedics
    Replies: 1
    Last Post: 02-11-2010, 08:58 PM
  4. open fracture, wound closed in ER
    By taylov519 in forum Orthopaedics
    Replies: 0
    Last Post: 04-22-2009, 12:26 PM

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?


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.