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14

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Fractures are coded by treatment
Open, closed, or percutaneous
Open Treatment
is made when a surgery is performed in which the fracture is exposed by an incision made over the fracture and the fractured bone is visualized
Closed treatment
is performed when the physician repairs the fracture without visualizing the fracture
Percutaneous skeletal fixation
describes fracture treatment that neither open nor closed. In this procedure, the fracture is not open to view,but fixation is placed across the fracture site, usually under x-ray imaging
Greenstck fracture
A greenstick, buckle or torus fracture is a fracture in a young, soft bone in which the bone bends and partially breaks
Avulsion fracture
is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma.
Spiral fracture
is a bone fracture occurring when torque is applied along the axis of a bone.
Impacted fracture
is a type of fracture in which one of broken fragments of bone wedges into another
Transverse fracture
A fracture in which the break is across the bone
Comminuted fracture
A fracture in which bone is broken, splintered or crushed into a number of pieces. ...
Oblique factor
A fracture that is diagonal to a bone's long axis
Simple (closed) fracture
is a broken bone when the skin over the fracture site is in tact
Compound (open) fracture
A fracture in which the bone is sticking through the skin
Colles' fracture
is a distal fracture of the radius in the forearm with dorsal (posterior) displacement of the wrist and hand. ...
Nasal bone fracture, closed treatment
cpt code: 21310
Unclomplicated, closed treatment of one fractured rib
cpt code: 21800
Interphalangeal joint dislocation of toe, open treatment with internal fixation
cpt code: 28675
Open distal fibula fracture repair with internal fixation
27792
Femoral shaft fracture repair using closed treatment
27500
Percutaneous skeletal fixation of impact fracture of proximal end, femoral neck
27235
Open treatment of shoulder dislocation with closed frcture of the greater humeral tuberosity, non- dispaced
cpt code: 23670
icd9: 812.03
closed treatment of closed mandibular fracture, including interdental fixation
cpt: 21453
icd9: 802.20
Percutaneous skeletal fixation of a closed distal radius fracture
cpt: 25606
icd9: 813.81
Closed ankle dislocation, closed treatment
cpt: 27840
icd9: 837.0
Penetrating woulnd elploration may be coded from the musculoskeletal system, Integumentary system, or the appropriate______ site.
Anatomic
Which physician subspecialty can report the codes from the muscloskeletal system subsection
any physician
It is the _______ of the fracture that determines the method treatment
Extent or type
___________is the applicatin of pulling force to hold a bone in place
Traction
What term is used to mean "put the bone back into place"
REDUCTION
what is the term that describes the physicians actions of bending, manipulating, rotating, pulling or guiding the bone back into place
manipulation
what term describes the cleaning of a wound
debridement
what term describes a bone that is not in its normal location
dislocation or dislocated
this is a hollow needle that is often used to withdraw samples of fluid from a joint
trocar
Incision of a superficial soft tissue abscess, secondary to osteomyelitis
cpt code: 20000
Radical resection of a 2.7 cm malignant neoplasm of the soft tissue of the upper back
cpt code: 21935
closed treatment of 3 vertebral process fractures
cpt code: 22305
under general anesthesia, manipulation of a right shoulder joint with external fixation
23700-RT
Lengthening of four tendons of elbow
24305x4
Incision and drainage of bursa of elbow
23931
Open treatment of carpal scaphoid fracture with internal fixation applied
25628
arthroscopy of 2 metacarpophalangeal joints
26530x2
Tenotomy of 2 flexor tendons of a finger using an open procedure
26455x2
amputation lower arm using krukenberg procedure
25915
open treatment of radial and ulnar shaft fracture with internal fixation of both radius and ulna
25575
Osteoplasty for shortening of both of radius and ulna for adult kienbock's disease
cpt: 25392
icd9: 732.8
Percutaneous lateral tenetomy for tennis elbow (lateral epicondylitis)
cpt: 24357
icd9: 726.32
replantation of right arm, including the neck of the humerus through the elbow joint, following a complete traumatic amputation
cpt: 20802-RT
ICD9: 887.2
exploration of a penetrating wound of the left leg
20103 wound, exploration, penetrating extremity
replantation
...
replantation of right foot after a completet, traumatic amputation
20838 replantation, foot
radical resection of malignant neoplasm of cheek, less than 2 cm
21015 tumor, resection, face
nonoperative, electrical stimulationof nonhealing femur fracture
20974 electrical stimulation,bone healing, noninvasive
percutaneous needle biopsy of muscle of upper arm in a patient with congenital myotonic muscular dystrophy
20206 biopsy, muscle
icd-9-cm 359.22 dystrophy, muscular, congenital, myotonic
intra-articular aspiration and injection of finger joint arthritis
20600 aspiration, joint
icd-9-cm 716.94 arthritis, hand
replacement of fiberglass shoulder to hand (long-arm) cast for a 54-yr old patient
29065 cast,long arm
99070 supply materials
initial application of a walking type short leg cast for a sprain
29425 cast walking
removal of a full leg cast by a physician who didnt apply the cast
29425 cast removal
strapping of a 46 yr old patirents knee
29530 strapping, knee
replacement of a thigh to toes cast on the right leg of a 35 yr old female patient
29345 cast long leg 99070 supply, materials
SURGICAL ARThroscopy of ankle, which included extensive debridement
29898 arthroscopy surgical ankle
diagnostic knee arthroscopy with synovial biopsy
29870 arthroscopy diagnostic knee