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Wedge Compression

  1. #1
    Eugene, OR
    Question Wedge Compression
    Medical Coding Books
    I'm looking for some help with a diagnosis code. I have an OP radiology report with a dx of "anterior wedge compressions at L1 & L2"- no mention of fracture. I found codes for wedge-shaped vertebra and wedging vertebra but they code to osteoporosis which didn't seem right. Does anyone have any advice on a code for this?

  2. Default anterior wedge compressions
    I usually have the wording "deformity" with it so I am coding it as a deformity of spine.

  3. #3
    Eugene, OR

  4. #4
    It's been my experience that wedge deformities are actually compression fractures of the spine - I have always coded these as pathological fractures *IF* the report states that is the case - as I recall I usually saw these in elderly patients. ICD9 would be 733.13

    If the compression fx is due to trauma, then code it accordingly

  5. #5
    Eugene, OR
    Thanks for the help. Appreciate it.

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