The best def I have ever seen is in the ICD9 book. For 2012 it is on pg 18 in the coding guidelines section. Basically, if the patient has been dx with a fracture and are in the docs office for that fracture- i.e to check the healing, change the cast, continued pain, removal of cast etc.. then you use the aftercare code. If the patient had a fracture a year ago and it has been considered healed and no longer receieving treatment for the fracture and they come in because the area is sore again you would use the follow-up.
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