Results 1 to 4 of 4

Coding an impending Fx and procedure

  1. #1
    Default Coding an impending Fx and procedure
    Medical Coding Books
    My doc did a surgery on a patient who has dx of metastatic breast cancer, left pathologic intertrochanteric fx and impending fx on right femur.

    Any suggestions on how to DX the impending FX on the right leg? He did an intramedullary rodding of both femurs.

  2. #2
    Default
    I'd use 198.5 (2ndary malig.neoplasm, bone & bone marrow) for the one w/out the fx & use 733.14 & 198.5 for the one with the fx. Also, I'd use proc 27187 or 27495 (prophalactic txmt) for the sx on the one leg since there wasn't actually a fx. (& depending whether it was neck or shaft). That's my opinion.

  3. #3
    Location
    Greater Pittsburgh
    Posts
    390
    Smile
    I agree with Marge.
    Last edited by jdemar; 07-31-2009 at 10:02 AM.
    jdemar, CPC, CMA

  4. Default
    There is nothing that states the patient has bone marrow cancer, I would use the metastatic BREAST CANCER with the pathalogical fracture as the primary since it is impending. I wouldn't attach a secondary neoplasm code unless the Dr specifically states that the patient has cancer in the bone and bone marrow...

Similar Threads

  1. help with impending femur fx
    By tmgexp1@yahoo.com in forum Orthopaedics
    Replies: 0
    Last Post: 08-05-2013, 02:30 PM
  2. Impending Fracture...
    By BCrandall in forum Orthopaedics
    Replies: 16
    Last Post: 04-25-2013, 10:37 AM
  3. help..impending fracture
    By jpenland1 in forum Orthopaedics
    Replies: 2
    Last Post: 01-13-2009, 12:19 PM
  4. Impending change to Physician Reimbursement?
    By kevbshields in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-23-2008, 04:53 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?

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.