If the patient had surgery then you cannot code the discharge in any case - it is bundled in the surgical procedure as part of post-operative care.
If the patient was non-operative (hard to imagine for orthopaedics) ... then you are right, you cannot code if the patient was not actually seen. (The hospital probably still requires a discharge summary, though.)
Hope that helps.
F Tessa Bartels, CPC, CEMC
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