Fracture codes will transform immensely with ICD-10, which means you need to embrace any advice that can streamline your code selection. The level of specificity expands for fractures in ICD-10-CM, and it will be critical for proper reimbursement to choose the appropriate ICD-10-CM in these cases.
Tip: You need to understand each character’s role within a fracture code.
For instance, for a rib fracture, you should first determine whether the fracture occurred in one rib or multiple ribs. If fracture was to one rib, you’ll begin your code with “S22.3.” If it was multiple ribs, you’ll use “S22.4” instead. You’ll choose your fifth and sixth characters based on anatomic location. For instance, if the patient fractured a single rib on the right, you’ll add “1X” onto your “S22.3” to make “S22.31X.” You still have to add a seventh digit, based on the patient’s encounter. The initial visit depends on whether the rib fracture was open or closed. So, if the patient with the single fracture to his right rib (“S22.31X”) presents to your practice for a subsequent visit for routine healing, you will add “D” to complete your seven digit code. Therefore, the entire correct code will be S22.31XD.
Conference will dissect the fracture section of ICD-10-CM, so that attendees will understand the role of each character within a fracture code, and the process of that code throughout the patient’s treatment.
This session will help you:
Who should attend? Orthopedic surgeons, non physician providers, coders, collections staff, surgery schedulers, practice managers/administrators, ED physicians, Internal Medicine, Family Practice
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics. Lynn is currently a workshop and audio presenter. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board,...
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