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Coding Pain with follow up healing fracture

  1. Red face Coding Pain with follow up healing fracture
    Medical Coding Books

    Can anyone suggest the proper diagnosis coding for patient coming with pain following fracture and the result is healing fracture(eg.patella).

  2. #2
    Code the pain, and then code orthopedic aftercare?

  3. Default
    I would use the appropriate V54.1 code as the primary code. It does need a fifth digit.
    You didn't say if it is an arm, leg, etc. But they are the codes i would use. You can use the original fracture dx code as your secondary diagnosis. But us the V54.1 code as the primary dx

  4. #4
    338.11 Acute pain due to trauma
    338.21 Chronic pain due to trauma

    followed by the appropriate V54.1x

    You can't use the original fracture code as a secondary dx as suggested because that fracture has been reduced and no longer exists.
    Walker Bachman, CPC, CPPM

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