Over 50% Off + FREE Exam with Certification Training | Learn More
Results 1 to 5 of 5

ORIF basicervical hip fracture code

  1. #1
    Default ORIF basicervical hip fracture code
    Medical Coding Books
    This is the first time I've come across this specific situation, so help figuring it out would be greatly appreciated! :0)

    Procedure perfomed is : ORIF right hip basicervical hip fracture with Synthes 10 mm diameter, 130-degree trochanteric femoral nail using a 100 mm helical screw in the femoral neck and a distal interlocking 32 mm corkscrew.

    Procedure notes state : incision was made along the greater trochanter through the gluteus medius fibers down to the greater trochanteric tip, where a guide ____ was inserted down the femoral shaft. Following this, a conical drill was inserted to allow insertion of the trochanteric femoral nail. Measurement of the canal revealed it to be approximately 10 mm, and a trochanteric femoral nail of 30 mm and 130-degree angle was chosen. This was placed ont a guide and inserted into the trochangeric region into the femoral shaft. After this, a guide was inserted onto the assembly of the trochanteric femoral nail to angle towards the femoral neck. An incision was made along the lateral femur through the skin and subcutaneous tissue through the tensor fascia lata adjacent to the lateral femur. Guidepin was inserted the lateral cortex into the femoral neck and head, measuring approx. 100 mm. Lateral cortex was drilled, followed by a conical drill to drill the 100 mm. Lateral cortex was drilled, followed by a conical drill to drill the 100mm, and subsequent insertion of 100 mm helical screw. Note that initially a 90 mm helical screw was inserted, which was too short, and it was replaced with the 100 mm helical screw. After this the guide was used for the distal interlocking screw, where extension of the lateral incision was performed, and then drill was for lateral cortex measuring 32 mm for interlocking screw. After the interlocking screw was placed and the locking screw was set at the proximal aspect of the femoral nail, the fracture was compressed.

    The biggest part of my confusion lies with the basicervical hip description, I'm thinking this is at the femoral neck, but I'm not totally sure. The 2 codes I was sort of kind of looking at are 27236, and 27248, I'm not even sure if either one of those is remotely close to right, but would really appreciate someone who has done more than a couple of these to help me! Thank you so much! :0)

  2. Default Steve J
    27236 is the correct code.

  3. Default
    I agree with 27236

  4. Default
    Unfortunately, all the above are incorrect. The term Basicervical fracture of the hip/femur is a variation of the terminology for a Base Neck fracture of the femur, also called Cervicotrochanteric fracture of the femur in ICD-10 (which has made a real mess of the organization and coding of proximal femoral fractures). This fracture occurs at the junction of the femoral neck with the trochanteric region of the femur, therefore it is in the "gray zone" between the neck and the trochanteric segments of the femur. The Dx code would be S72.041A, since it was probably displaced and right sided. It is usually treated like an Intertrochanteric fracture.
    The surgical procedure was open treatment with an Intramedullary Device with distal locking screw, which is 27245.

    I have tried to sort out and make sense of the issue of proximal femur fracture coding in a Blog called "Coding Hip Fractures" at my website: icd10orthocoder.com. Click on the Blogs Tab and scroll through the Blogs, then click on the title, which will open it up. It may be of help to you.

    Respectfully submitted, Alan Pechacek, M.D.

  5. Default
    Thank you! I just came back to this post because I realized I put the wrong code! 27245 it is!

Similar Threads

  1. Fracture - ORIF
    By LLRodgers in forum Orthopaedics
    Replies: 0
    Last Post: 07-15-2015, 10:53 AM
  2. Uni Hip AND ORIF?
    By blazeunreal in forum Orthopaedics
    Replies: 1
    Last Post: 05-12-2014, 06:52 AM
  3. ORIF only for acute fracture?
    By Sephardic in forum Orthopaedics
    Replies: 1
    Last Post: 04-05-2013, 08:35 AM
  4. Orif - hip
    By nyyankees in forum Anesthesia
    Replies: 4
    Last Post: 07-09-2009, 11:47 AM
  5. ORIF Subtroch/ Intertrochanteric hip fracture
    By cathy56 in forum Orthopaedics
    Replies: 2
    Last Post: 10-21-2008, 10:25 AM

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.