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new injury rebeaking the right distal humerous over an healed fracture with a metal

It’s Risk adjustment, so I’m coding an acute fracture of the right distal humerus: S42.201a. But the x-ray shows a surgical plate with screws so Should I code a S42.201D? or is there a better code of rebreaking the same bone at the site of an old fracture?

Medical Billing and Coding Forum

7th character for healed fracture – new physician – no treatment needed

I am having a hard time with coding for healed fractures.

Ortho MD sees a patient as a consult in the hospital. He notes:
…"patient also noted to have old, healed R distal rad fx, L prox fib fx and old rib fractures"

I am coding for his consult to address new fractures sustained in an MVA, but am unsure how to code for the old fractures that are not symptomatic and for which he is not administering treatment. Specifically, what 7th character would I utilize for the old, healed fractures?

Thank you very much for your help.
M

Medical Billing and Coding Forum