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Orthopedic Coding Alert

Reader Question:

You Have a Specific Code for Intramedullary Nail

Question: Can you please help us to report the following procedure that our surgeon did:Diagnosis: Comminuted fracture, right distal femur.Operative procedure:  Closed reduction with retrograde intramedullary nailing of distal femur fracture.The operative note reads as follows:"An incision was made midline, and the patellar tendon split.  This allowed us to drill a hole with a Steinman pin and match an appropriate angle and location is verified by image intensification in both planes.  This allowed us to over ream the appropriate level and we selected a retrograde nail.  We inserted a distal fragment across the fracture site without great difficulty and impacted in distally at the appropriate level. This allowed us to use the guides to make a separate stab incision laterally and we were able to place a Steinmann pin in the distal femoral condyle."North Carolina SubscriberAnswer: You report a simple intramedullary nail for femur fracture. Look at code 27509 (Percutaneous [...]

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