AAPC - Back to school
Results 1 to 3 of 3

Thread: Pain From Cast

  1. #1

    Question Pain From Cast

    AAPC: Back to School
    I have a question on an ER that I'm trying to code. The patient had a cast placed on her arm at another hospital, but came to our ER with arm pain at the location of the cast and finger swelling. On examination, the ER physician noted mild edema of the fingers and no significant pain with flexion/extension.

    The cast was removed and a new one applied. Patient had relief of pain.

    I am charging for the cast removal and new cast application, but do I use a modifier on either of them?

    I can't find a code under, complications, pain, fracture, etc, that states the pain was due to an external fixation device with no internal components. Can you give me any thoughts on what ICD-9 codes to use?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Signs/Symptoms and V code

    This is NOT my area of expertise, but I'm thinking ..

    I'd code the edema, arm pain and the V code.
    Look at V54 section in ICD-9 to see if one of those Orthopaedic Aftercare codes fits.

    I asked our ortho coder what she would use if the patient came to clinic with this scenario and she'd use the Aftercare codes. In the absence of specific information about the original fracture, V54.89 ... if you know whether fracture was traumatic vs pathological and the specific site (upper arm vs lower arm), you can use the more specific V54.xxcode.

    F Tessa Bartels, CPC, CPC-E/M

  3. #3


    Thank you!!

Similar Threads

  1. cast application
    By pochranek in forum Orthopaedics
    Replies: 1
    Last Post: 09-12-2013, 02:23 PM
  2. Cast with injections
    By coders_rock! in forum Orthopaedics
    Replies: 2
    Last Post: 04-10-2013, 10:07 AM
  3. ASCs Bill Pre-Op Pain Block for Post-Op Pain?
    By brendaday in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-14-2010, 07:40 AM
  4. Cast boot part of walking cast?
    By terridiaz in forum Orthopaedics
    Replies: 5
    Last Post: 06-10-2010, 08:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.