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Impending Fracture...

  1. #11
    Location
    North Carolina
    Posts
    3,126
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    Medical Coding Books
    I like it Bruce...Your ICD-9 codes support the CPT code as well.

  2. Default
    I'm going to go with that...I'm spent! Thanks for your input Rebecca. Are you coming to the Coding Conference up here next week?
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC
    www.ncspecialty.com

  3. #13
    Location
    North Carolina
    Posts
    3,126
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    Hmmm...I'm not sure I knew about it...Where is it located? I would love some details...You can email me off line if you prefer...I'll send you a PM..

  4. #14
    Default
    Since this is not a 'current' fracture, but rather a prophylactic measure, you may want to rethink your CPT code. Look at 27187- "prophylactic treatment" (nailing, pinning, plating or wiring). Then I think you could use the primary and secondary malignant neoplasm codes and they would pass your cross-coder.

  5. #15
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by jmkitchen View Post
    Since this is not a 'current' fracture, but rather a prophylactic measure, you may want to rethink your CPT code. Look at 27187- "prophylactic treatment" (nailing, pinning, plating or wiring). Then I think you could use the primary and secondary malignant neoplasm codes and they would pass your cross-coder.

    Bruce is using 27187. Look at his later response.

  6. Default
    The problem is in the dictation, there's no mention of neoplasms, just lesions. Since this was prophaltic treatment the cross coder assumes there's already a current neoplasm/cancer diagnosis made, which may be but it's not documented for this service.
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC
    www.ncspecialty.com

  7. Default
    V07.8 would be the appropriate diagnosis for admission for impending pathologic fracture - prophylactic rodding.

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