Posted on 10. Aug, 2009 by in Hot Coding Topics
CPT code selection is easier if you know your fracture anatomy. Illustrations included!
Fractures are defined as a disruption in the integrity of a living bone, bone marrow, periosteum, and adjacent soft tissues. Fractures occur when a bone cannot withstand outside forces, the integrity of the bone has been lost, and the bone structure fails. Fracture care usually involves the expertise of an orthopedic physician who monitors the fracture’s healing. The ultimate goal is to secure union and to restore normal function.
Fracture healing involves 5 phases:
- fracture and inflammatory phase
- granulation tissue formation
- callus formation
- lamellar bone deposition
Become Familiar With Site Vocab
Orthopedic coders also need to understand the many eponyms and terms that pertain to specific fracture. They will help you to recognize a fracture’s location. They are:
Bankart fracture — This is usually seen with an anterior dislocation of the shoulder where a small piece of bone is detached from the anteroinferior rim of the glenoid bone.
Bennett fracture — The thumb is dislocated dorsally at the metacarpal. There is often an associated avulsion of the metacarpal on the volar surface of the metacarpal articular surface.
Colles — This refers to a fracture through the distal radius and often the ulnar styloid. It is known to produce a “Silver Fork Deformity.”
de Quervain — This involves a fracture of the scaphoid bone and a volar dislocation of the scaphoid fragment with the lunate bone.
Dupuytren fracture — a spiral fracture found at the distal end of the fibula.
Lisfranc fracture — a fracture of one or more of the bones at the site of the arched tarsometatarsal joint in the midfoot.
Holstein-Lewis — spiral fracture to the humeral shaft.
Monteggia — This fracture involves the proximal one-third...
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