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Coding for original fracture when coming in for hardware removal

  1. #1
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    Lafayette Louisana
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    Default Coding for original fracture when coming in for hardware removal
    Medical Coding Books
    Please help me with this question. I have a patient who is coming in for hardware removal and the doctor says that is the diagnosis, should we also add the reason the hardware was placed, hence a fracture, into the diagnosis when the patient comes in for the removal as the fracture was the main reason for the placement in the first place.

  2. Default
    Based on the information given, I would code V54.01 (aftercare, involving removal of internal fixation device). If the fracture has been treated, you wouldn't code for an acute fracture.

    ~L
    CPC, CGSC, COSC

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