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ICD-9 code for "loss of reduction of fracture"

  1. #1
    Default ICD-9 code for "loss of reduction of fracture"
    Medical Coding Books
    I have a continuing problem where a patient has a fracture, closed treatment is done. Patient returns for follow up and ends up needing another surgery because there is a loss of reduction of the fracture. My questions is how do you code this. Do you just use the after care code. do you recode the fracture. Example for a distal radius fracture that is in a global for fracture care and is requiring additional procedures due to a loss of reduction, do you code it as: V54.12 or 813.42? or both? Any ideas?
    Tina Wosmek CPC, COSC

  2. #2
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    look at malunion or non union of fracture.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    I thought that too however, the definition of

    Malunion is "the joining of the fragments of a fractured bone in a faulty position, forming an imperfect alignment, shortening, deformity, or rotation."

    and Nonunion is "failure to unite, as a fractured bone that fails to heal completely, diagnosis of nonunion is established when a minimum of 9 months has elapsed since the injury and the fracture site shows no progressive signs of healing for a minimum of 3 months and is not complicated by a synovial pseudoarthrosis."

    neither really truely fit although malunion is the closest.
    Tina Wosmek CPC, COSC

  4. #4
    Default
    Still would like some opinions on what you would code this as.. I run into it a lot where they try conservative treatment then the fx loses reduction and needs to go in and have surgery. Usually within a few weeks of initial treatment so no real healing has taken place....Would I just use the fx icd-9 code again. What is everyone else using!!!
    Tina Wosmek CPC, COSC

  5. Default
    I've always used the inital fracture diagnosis but ran across this thread when I was searching to see if I'm correct also.

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