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diagnosis question - History states that the patient

  1. Smile diagnosis question - History states that the patient
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    History states that the patient had an injury several months ago.

    The impression indicates an osteochondral fracture of the lateral femoral condyle with significant subchondral cystic degeneration and marrow hyperemia.

    Would you use 821.21 for this type of fracture?

    Thank you.

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    fisherd - I like 821.21 for this also. Appears the patient has this fracture at present time, as being seen by the physician. It doesn't say the patient had a fracture months ago. It states they were seen for an "injury" months ago, and the impression "now" is the fracture.
    (we don't use Ecodes at our clinic)
    Donna, CPC, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Lightbulb
    Quote Originally Posted by fisherd View Post
    History states that the patient had an injury several months ago.

    The impression indicates an osteochondral fracture of the lateral femoral condyle with significant subchondral cystic degeneration and marrow hyperemia.

    Would you use 821.21 for this type of fracture?

    Thank you.
    Is the "injury" from several months ago this particular fracture? Is it possible that this is a mal-union or non-union fracture (733.81 - 733.82)?

  4. #4
    Default
    I think that if the patient has not been seen previously for the fracture then using the 821.21 would be correct.

  5. Default
    Hi
    since the fracture is not coded for the present condition of the injuries occured for the several months ago, we can go head by coding 821.21.
    If fracture has mentioned before itself and the present condition states that the patients has still fracture means, we can select the code from the late effect list (i.e E929.0 - 929.9)

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