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The same patient presents to a local orthopedist for treatment of his nondisplaced fracture of the shaft of the right tibia. After x-rays, the physician makes plans for ongoing care, and instructs ...
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The above patient returns to the orthopedist office, after three weeks. The provider notes routine healing, but the cast needs to be changed. The provider instructs the mother to return in three we...
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The same patient in the above scenario presents to a new orthopedist three weeks after moving to a new location. The orthopedist orders x-rays and determines that the right tibia shaft fracture is ...
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The patient is a 74-year-old male who was discharged from the hospital after being treated for injuries sustained in a traffic accident where he was an unrestrained passenger in a car. At that time...
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A patient is seen by a physician for surgical treatment of a fracture. The same patient is seen by a different physician of the same group who continues to provide ongoing active treatment. Are bot...
Yes, both en...
A patient with a healed fracture, who is status post fracture treatment four months ago, is seen by a new provider for the first time for a follow-up visit. Is the visit to the new provider assigne...
For the purp...
When coding an initial x-ray for a fracture injury, we understand that the 7th character “A” initial encounter should be assigned. However, while the fracture is healing, there are often multip...
Yes, the enc...
A patient was treated for a fracture and placed in a cast. Two weeks later, the cast was wedged to obtain better position. Would this intervention be considered active treatment? Would any interven...
No, this sce...
The patient developed an infection after a primary left total hip replacement and was admitted to the hospital for surgical treatment. At surgery, the prosthesis was removed. An antibiotic impregna...
For the init...
A 21-year-old male, who is status post open fracture of left femur secondary to an accidental gunshot wound, is admitted with intractable pain in the left hip. The patient’s injury occurred appro...
Yes, the tra...