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2/25/2014. Ruby O'Brochta-Woodward BSN,CPC, COSC, CSFAC. February 22, 2014. AAPC Regional Conference Seattle Washington Fracture coding, what do you need to know? Types of fractures Types of treatment Fracture care . ICD-9 diagnosis guidelines A glimpse of fractures in ICD-10. CCI guidelines musculoskeletal Musculoskeletal injections and meds The Orthopedic Operative Report Radiology quirks Injection pearls This Presentation is for education purposes only. The information presented is not intended to be legal advice. The information presented was current at the time presented and when applicable, based upon guidelines published by the AMA, CMS, and NCCI. 1. 2/25/2014. Fracture definition Location Configuration Alignment Type of treatment A break or disruption in the continuity of a bone, epiphyseal plate or cartilaginous surface . Blauvelt and Nelson The specific bone(s) involved Where on the bone 2.

2/25/2014 6 An OPEN fracture can be treated CLOSED with or without reduction Treatment is neither open nor closed Fracture fragments are not visualized Device is inserted through the skin with a minimal incision May be seen with open treatment Usually done with imaging (fluoro, C-arm) Use of imaging during the procedure is …

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