For open fracture types, terms used include compound, infected, missile, puncture and with foreign body. Instead, for a closed fracture they may use terms such as Comminuted, Depressed, Elevated, Fissured, Greenstick, Impacted, Linear, Simple, Slipped epiphysis and Spiral. However, in most cases physicians don’t always specify the fracture clearly as open or closed. A traumatic fracture is caused by accidents, falls or other kinds of force, while pathologic (non-traumatic) fractures are caused by diseases like osteoporosis. Though we have discussed earlier about documenting Osteoporosis with ICD-10 coding, here are some more tips that orthopedic coders can consider.Ĭheck whether the fracture is traumatic or pathologicĬheck the physician’s documents to know whether the fracture is traumatic or pathologic (non-traumatic). Physicians could also consider accurate medical coding servicesprovided by an experienced firm. Documenting these osteoporotic fractures for claim submission and reimbursement requires a better understanding of the coding guidelines for coders. As this disease is characterized by low bone mass with microarchitectural disruption and skeletal fragility, there is an increased risk of fracture, particularly at the spine, hip, wrist, humerus, and pelvis.
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