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Reverse Bennetts Fracture

  1. #1
    Location
    Piedmont Area Coders, VA
    Posts
    51
    Default Reverse Bennetts Fracture
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    Ok.
    So I know that a thumb Bennetts Fx/Dislo goes to 26645-26665. BUT, what happens when the Fx/Dislo is of, say, the RING finger MC?
    Physican does ORIF of fx and ORIF of the dislo.

    What are the thoughts of 26686, for a complex CMC reduction (made complex by the associated MC base fx)

    Any ideas or thoughts?

    Thanks!
    dc
    RHIT,CPC

  2. Default
    This is just my opinion, but I would code 26685 for the CMC dislocation, and 26615 for the metacarpal fracture (if I am reading the scenario correctly). According to AAOS global data set for 26685, tx of additional fractures is NOT included in the global service package.

  3. #3
    Location
    Piedmont Area Coders, VA
    Posts
    51
    Default
    THANK YOU for being brave enough to hazard a guess!!! I appreciate the input, and agree with you!
    dc
    RHIT,CPC

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