You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
To code a diagnosis of this type, you must use one of the nine child codes of S72.4 that describes the diagnosis 'fracture of lower end of femur' in more detail. a hoffa fracture is an intra-articular supracondylar distal femoral fracture, characterized by a fracture in the coronal plane.
Fracture of femur ICD-10-CM S72. 309A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
ICD-10-CM S72. 002A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 521 Hip replacement with principal diagnosis of hip fracture with mcc. 522 Hip replacement with principal diagnosis of hip fracture without mcc.
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Z98.890ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A femur fracture is a break, crack, or crush injury of the thigh bone. It is sometimes referred to as a hip fracture or broken hip when the break is in the upper part of the bone near the hip joint area. Femur fractures that are simple, short cracks in the bone usually do not require surgery.
ICD-10 Code for Displaced intertrochanteric fracture of left femur- S72. 142- Codify by AAPC.
Distal Femur (Thighbone) Fractures of the Knee. A fracture is a broken bone. Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. The distal femur is where the bone flares out like an upside-down funnel. The distal femur is the area of the leg just above the knee joint.
You would use 27513. This includes fixation of the fracture which extends into the joint space.
ICD-10-CM Code for Fracture of unspecified part of neck of right femur, initial encounter for closed fracture S72. 001A.
ICD-10 Code for Encounter for other orthopedic aftercare- Z47. 89- Codify by AAPC.
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Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47.
Both the treating physician and the consulting physician have provided active care, and both visits are initial encounters. Neither prescribing medicine, nor referral to a physical therapist, is considered active care for fracture coding.
Fracture coding can be a challenge for both physicians and coders, but its effect on hierarchical condition code (HCC) funding in Medicare Advantage, as well as health plan Star ratings, leaves little room for speculation. Knowing how ICD-10 delineates initial and subsequent visits is key.