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fracture coding question

  1. #1
    Default fracture coding question
    Medical Coding Books
    I could use some help on how to code the following consultation:

    The orthopedic surgeon had a consultation with an inpatient two days after being admitted. The patient was diagnosis with a closed trochanteric 820.20 and a mid-shaft femur fracture 821.01. The patient was fitted with a Sarmiento orthotic to stabilize the fracture. I know I should code 99232 for the consultation but I'm not sure if it is appropriate to code 27246 and 27500 for setting the fractures.

    I'd appreciate your assistance!

  2. #2
    If the patients primary dx for the admit is for the fractures I wouldn't code the consult.
    Your provider is assuming care of the pt. I would code the Fracture Surgery codes.
    I hope this helps.

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