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Thread: Finger fx's

  1. #1
    Join Date
    Apr 2007

    Default Finger fx's

    AAPC: Back to School
    Help with codes:

    The nail bed was intact. However, there was circumferential
    laceration over the volar distal interphalangeal joint region.
    This communicated with the open distal phalanx fracture.
    The most-radial aspect of the base of the distal phalanx was
    pulled distally and was attached to the flexor tendon. I
    reduced this fragment and pinned it with a K-wire. I then
    reduced the contralateral base of the distal phalanx with a
    K-wire crossing the distal interphalangeal joint. When I was
    finished, I had excellent reduction and a stable fixation.
    This, indeed, placed the flexor tendon back into its anatomic
    position. The wound, which I did extend, was copiously
    irrigated and closed with interrupted 4-0 nylon.

    We then turned our attention to the ring finger. There was a
    nail bed injury. The nail bed was removed. The complex
    laceration was repaired with interrupted 4-0 nylon. The patient
    had a displaced distal phalanx fracture which was transverse in
    nature. I then was able to place a K-wire across the fracture
    site and obtain anatomic alignment of the distal phalanx. C-arm
    imaging confirmed excellent reduction of both fractures and
    again was irrigated. It was placed in a bulky sterile dressing.
    The patient was extubated and transferred to PACU in stable

  2. #2
    Join Date
    Apr 2007


    I am sure there are several of us willing to help, but rather than to code it for you, please tell us what your code/codes of choice are then we can respond by either agreeing, offer suggestions or pointing you in a different direction with suggestions. By doing it this way, it becomes more of a learning tool.

    Mary, CPC, CANPC, COSC

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