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Click here for more sample CPC practice exam questions and answers with full rationale

Unspecified vs. other

When is it appropriate to use unspecified vs. other? Example, the orthopedic surgeon simply documents distal radius fracture. There is no code for distal radius fracture, other than unspecified. If they don’t document that it’s an intra-articular, extra-articular, etc…. would it be appropriate to choose the "other specified" or should I use unspecified since the physician knew a more specific diagnosis but simply didn’t document it?

Medical Billing and Coding | AAPC Forum