Q:  Most of the time my provider doesn’t tell me if a fracture is displaced, so based on what you said early in your presentation,  the default is displaced.  Is that correct?

A:  yes, that’s absolutely correct.  I would however try to encourage them to document this information.

Q:  Let’s say my provider has an open fracture of an arm and he documents that he cleaned out gravel.  Is that an example of when I could code for one of those debridement codes you mentioned?

A:  Yes, you would need to verify how deep he went in the documentation in order to choose the correct CPT.

Q:  If my provider documents that he does a percutaneous pinning but there is no percutaneous code, Can I use one of the open codes or should I use a closed code.

A:  In this instance, it would be appropriate to use an unlisted code if there is not a CPT code to describe the procedure performed.

Mary Bort, CPC, CPMA, CANPC, CASCC, COSC

Mary Bort, CPC, CPMA, CANPC, CASCC, COSC

Consultant

Mary is a consultant for The Haugen Consulting Group with over 25 years of health care industry experience. She started her career in Orthopedics which was her passion for decades. In addition to Orthopedics, she provides expertise in other specialties such as Anesthesia, Ambulatory Surgery Center, as well as most surgical specialties . She has experience working the professional fee side of coding, audit, education as well as compliance, serving both coders and physicians, as well as the surgical side. She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Anesthesia Professional Coder (CANPC) Certified Ambulatory Surgery Center Coder (CASCC) and Certified Orthopedic Surgery Coder (COSC).

During her free time, she loves to do crafts, enjoys the outdoors, and the Broncos! She has 4 daughters, and 10 grandchildren which light up her life.

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