By HCPro a division of BLR, Nena Scott MSEd RHIA CCS CCS-P CCDS
This guide is a brief reference advisor for coders in emergency division (ED) settings. It courses coders via assigning stopover at degrees and documentation necessities for quite a few universal ED companies. The instruction manual additionally comprises anatomical illustrations for fractures.
Table of Contents:
Evaluation and Management
Type A ED stopover at levels
variety B ED stopover at levels
Integumentary System
Anatomy of skin
Incision and drainage
Debridement
Repair
- Simple
- Intermediate
- Complex
Burns, neighborhood treatment
Musculoskeletal System
Introduction or removal
- removing of overseas body
- Injection (tendons, muscle mass, set off point)
- Arthrocentesis
Fracture and/or dislocation anatomy and coding
- Definitions of universal kinds and terms
- Skull
- Neck (soft tissues) and thorax
- Shoulder
- Humerus (upper arm) and elbow
- Forearm and wrist
- Hand and fingers
- Pelvic and hip joint
- Femur (thigh area) and knee joint
- reduce leg and ankle joint
- Foot and toes
Application of casts and strapping
Respiratory System
Nose
- elimination of overseas physique
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Extra info for JustCoding’s Emergency Department Coding Handbook
Sample text
Dislocations are usually caused by a sudden impact to the joint, which usually occurs following a blow, fall, or other trauma. A 32 | Emergency Department Coding Handbook © 2015 HCPro Musculoskeletal System dislocation may occur in conjunction with a fracture or on its own. A partial dislocation is referred to as a subluxation. Treatment Initial treatment of a dislocation includes rest, ice, compression, and elevation. In some dislocations, the bone ends may go back into place by themselves. For those dislocations that do not, the physician will need to place the joint back into its proper position so it will heal.
27750–27759 These codes are used to report open, closed, and percutaneous treatment of tibial shaft fractures, and they can be reported with or without fibular fractures. Codes for reporting fractures to the fibula at the proximal or distal ends, as well as the shaft, are located from 27780–27792. 27760–27769 These codes are used to report open and closed treatment of medial and posterior malleolus fractures. These codes should not be reported in conjunction with 27808–27823, the codes to report bimalleolar and trimalleolar ankle fractures.
CPT includes separate codes for the thumb. • 26670–26686, carpometacarpal dislocations. Codes are reported once per joint. Also look for use of anesthesia and fixation devices. • 26700–26715, metacarpophalangeal dislocation. • 26720–26735, phalangeal shaft fractures. These codes specify the middle or proximal phalanx of the thumb or finger. Report the code once for each finger involved. • 26740–26746, articular fractures involving the metacarpophalangeal or interphalangeal joint. • 26750–26765, which describe various treatment options for distal phalangeal fractures of the thumb and fingers.