Maiu Posted Fri 17th of February, 2012 20:01:05 PM
Patient presented with nasal trauma. Patient has a mild swelling over the nose and a 1.3 cm laceration, no bleeding. X-ray is positive for nondisplaced nose fracture. The doctor uses dermabond to close the wound. Patient was counselled for fracture and follow up instructions were given. Should this be coded as open or closed fracture?
SuperCoder Answered Fri 17th of February, 2012 22:09:28 PM
Hello - This article (and some other sources I've seen) say: "In some cases the documentation may indicate that the patient has a fracture and also has a laceration at the fracture site. But if the laceration is superficial and doesn't communicate with the fracture, the two should be classified separately, with one code for a closed fracture and another for a laceration." http://health-information.advanceweb.com/Article/Fracture-Coding-for-Both-ICD-9-CM-and-CPT.aspx