Fracture
Patient admitted to home health after fall with left femoral neck fracture. Patient had surgery and hardware was placed. Patient also has osteoporosis. My question is do I code fracture with 7th character, or do I code from M80-? Also, is there a code for presence of hardware? Thanks
Comments
The OP instructions are on page 1032 in your book under age-related OP with current path fx.
The instructions Diane stated are ONLY IF the fall or trauma would not usually break a normal healthy bone.
Here's the actual guideline:
Section I.C.13.d.2)
Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.
Nancy Wolverton RN,CCM
QR Specialist, Central Office
5800 West 10th St., Suite 300
Little Rock, AR. 72205
Ph# 501-280-4913
Fax# 501-280-4385
Nancy.Wolverton@arkansas.gov
I do not assume. If the medical records state fracture, and an injury is documented and if it is not specifically stated as due to osteoporosis and is not documented as a pathological fracture, then I code it as trauma.
Nancy Wolverton RN,CCM
QR Specialist, Central Office
5800 West 10th St., Suite 300
Little Rock, AR. 72205
Ph# 501-280-4913
Fax# 501-280-4385
Nancy.Wolverton@arkansas.gov
Nancy Wolverton RN,CCM
QR Specialist, Central Office
5800 West 10th St., Suite 300
Little Rock, AR. 72205
Ph# 501-280-4913
Fax# 501-280-4385
Nancy.Wolverton@arkansas.gov