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Orthopaedic aftercare ICD-9

  1. Default Orthopaedic aftercare ICD-9
    Medical Coding Books
    I am confused about the aftercare codes (V54 etc) It says aftercare for healing traumatic fracture, but I am told that these codes are used after the fracture heals and it is more appropriate to use the actual fracture codes during the fracture f.u. visits. This supposedly came from a national expert. I am new to this specialty and two major companies that I have coded for have two different approaches. Help!!

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hmmm...guess I'll have to look into that a bit more! However, in the past - and for now - our facility uses the V54.xx fracture care follow up codes on fracture care follow up visits. If they are "new" fractures, (within their global period still) we also use the fracture code itself as the second dx. but again, looks like I have some research to do!
    Donna, CPC, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
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    My understanding is that if the fracture is "healing" you should use the "aftercare for healing traumatic fracture codes".

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Talking
    In fact, if you look at the ICD-9 guidelines, it explains what codes to use when. Page 13 of the guidelines.

  5. Default
    One would expect that if the fracture is still in the "healing" phase, it would be acceptable to use the aftercare, healing traumatic fracture--as the words imply.

    ~L
    CPC, CGSC, COSC

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