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Archive October 2010 XI, No. 10

Coding & Billing

Tips to Document Fractures and Dislocations

Lolita Jones, RHIA, CCS

BIO

A fracture is a break in a bone. A dislocation is a disturbance or disarrangement of the normal relation of the bones entering into the formation of a joint. A reduction involves repositioning or restoring a bone to its normal anatomical relation by surgical or manipulative procedures. Although these definitions may seem simple, the documentation of fractures, dislocations and their repairs is anything but. Many clinical and technical details are required to accurately code these cases. Here are some of the most common documentation issues for fracture and dislocation treatments.

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