Appreciate the feedback! Thank you!
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External cause codes in Consultation sercvices
I would require ICD-10-CM clarification for External cause coding. The Nephrologist visits CKD patient in inpatient hospital who was admitted for femur fracture. The fracture occurred due to fall.
We are coding CKD codes with injury and external cause codes. I am not sure if we can code initial external cause codes for Nephrologist. The nephrologist is not involved in ortho treatment, should we code external cause codes for consultation services other than ortho/injury services?. Do we have any guidelines for this?
Regards,
SG
External Cause Coding
Thanks so much!
Pamela Johnson, BS, CPC
External Fixator with Closed Treatment and return to OR for staged ORIF
Is it commonplace to bill 20690 (uniplanar external fixator) and 27825 (closed manip tx pilon) at the initial surgery, and at the time of the definitive surgery, to bill 27827 (open tx pilon) with a 58 modifier.
The physicians thought is that the closed manipulation is a separate procedure from the external fixator, done as a separate and specific maneuver during surgery, and is a necessary step in temporizing an injury. Therefore, the closed manipulation should be coded separately, and is not inherently bundled into the external fixator code. I just need clarification and a reference, if possible.
This is not a case where fixator is applied and closed treatment did not repair the fracture, and the decision was made to return to the OR for open treatment which would be billed with a -78 modifier.
Questions I have are:
1) Is the physician meeting the global requirements of the closed procedure (number of visits required, etc.)
2) Is it acceptable to bill a patient for 2 related procedures at full reimbursement for the same fracture?
External cause codes for professional reporting
I’m in a situation where I need to advise an billing company that does professional claims only whether they need to report external cause codes for Emergency Department claims. It’s my understanding that e-code reporting requirements differ by state and/or by payer., but I’m having difficulties finding this information.
Could someone point me in a good direction to find more information about professional coding of external cause codes? :confused: I’d really appreciate this.
Thanks!
Charge for removal of an External Fixator (DigitWidget)
Clarification of injury code 7th character and external cause codes
external fixation with closed reduction
Thank you
Am I getting this External Cause, Place, Activity, Status
Patient involved in an automobile accident where he was the unrestrained driver of a vehicle hit by a minivan on a business street.
I have V43.64XA, S01.82XA, Y92.414
The S code is for the other things but in terms of the external cause and all that, what am I missing here.
Thanks anyone….