Site and laterality/ Pathologic Fractures
What character is for use as long as the patient is receiving active treatment for the fracture?
7th character A is for use as long as the patient is receiving active treatment for the fracture. While the patient may be seen by a new or different provider over the course of treatment for a pathological fracture, assignment of the 7th character is based on whether the patient is undergoing active treatment and not whether the provider is seeing the patient for the first time
What is Osteoporosis?
Osteoporosis is a systemic condition, meaning that all bones of the musculoskeletal system are affected.
What character is to be used for encounters after the patient has completed active treatment for the fracture and is receiving routine care for the fracture during the healing or recovery phase?
7th character D is to be used for encounters after the patient has completed active treatment for the fracture and is receiving routine care for the fracture during the healing or recovery phase.
What is not a component of the codes under category M81?
Therefore, site is not a component of the codes under category M81, Osteoporosis without current pathological fracture.
What codes are used for Care for complications of surgical treatment for fracture repairs during the healing or recovery phase?
Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes
For site codes under category M80, Osteoporosis with current pathological fracture, Always identify the type of osteoporosis.
True or False
False
The site codes under category M80, Osteoporosis with current pathological fracture, identify the site of the fracture, not the osteoporosis
If the portion of the bone affected may be at the joint, always code the Joint!
True or False
False
For certain conditions, the bone may be affected at the upper or lower end, (e.g., avascular necrosis of bone, M87, Osteoporosis, M80, M81). Though the portion of the bone affected may be at the joint, the site designation will be the bone, not the joint
Always code M88 for Osteoporosis with current pathological fracture especially if they have a current pathologic fracture at the time of an encounter.
True or False
FALSE
CODE CATEGORY M80 Osteoporosis with current pathological fracture is for patients who have a current pathologic fracture at the time of an encounter.
For some conditions where more than one bone, joint or muscle is usually involved, such as osteoarthritis, How many site and codes are available?
For some conditions where more than one bone, joint or muscle is usually involved, such as osteoarthritis, there is a “multiple sites” code available. For categories where no multiple site code is provided and more than one bone, joint or muscle is involved, multiple codes should be used to indicate the different sites involved
Any current, acute injury should be coded to the appropriate injury code from chapter 16.
TRUE OR FALSE
FALSE
Any current, acute injury should be coded to the appropriate injury code from chapter 19.