Susquehanna Valley Posted Wed 20th of May, 2015 10:49:00 AM
The physician documents fracture of distal femoral metaphysis.
I was looking at anatomy, is it okay to use cpt code 27501 [supracondylar/transcondylar] for this area.
I wasn't sure as he did not specify supracondylar or transcondylar femoral fracture.
But he also did not specify medial or lateral condyle femoral fracture.
He is only specifying distal femoral metaphysis.
I will query if necessary. I don't want to query if it is not necessary.
SuperCoder Answered Thu 21st of May, 2015 00:56:20 AM
Please read the definition of Metaphysis below.
Metaphysis: The metaphysis is the flared end of a long bone and is located between the diaphysis and the physis. You probably won't find any coding significance regarding this region. Fractures through the metaphysis are usually considered part of the shaft for coding purposes.
According to that the correct code would be: 27500/27502 (for closed reduction) and 27506/27507 (for open reduction)