Tip: Learn new ICD-10-CM documentation requirements for pathologic fractures
APCs Weekly Monitor, July 15, 2011
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A pathologic fracture is a broken bone caused by disease. ICD-10-CM expands code selection for this types of fracture to more than 150 codes. In ICD-9-CM, coders may select from only eight codes.
With the advent of ICD-10, pathologic fracture documentation and coding will need to include:
- Exact location of fracture
- Site
- Laterality
- Etiology of fracture
- Osteoporosis
- Neoplastic disease
- Encounter type
- Initial encounter
- Subsequent encounter
- Subsequent encounter with delayed healing
If a patient has osteoporosis and a fracture without a fall, the fracture is often assumed to be pathologic.
The tip is adapted from “ICD-10-CM prep: Determine documentation trouble spots” in the June issue of Briefings on APCs.
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