Compression fractures

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Comparison/Contrast of Compression Fracture coding in both ICD-9 CM/ICD-10 CM.

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Compression fractures

  1. 1. COMPRESSION FRACTURE Discussion: Although, the alphabetical index for ICD-9 CM does not include the descriptive term traumatic after the main term Fracture as it does in ICD-10 CM, the coder can make the assumption that “compression fractures” are considered traumatic. This assumption would lead the coder to code traumatic “compression fractures”, if the documentation supports the same, by site. In ICD-10 CM there are no instructions relating to a traumatic compression fracture. Are we to code traumatic compression fractures by site as well? The subterm compression does fall under the main term Fracture, Traumatic. Next, if we continue to follow the dictates of the alphabetical index for both nomenclatures we find that in ICD-10 CM nontraumatic compression fractures are considered to be of the vertebrae (collapse) only and the coder is led to “see collapse vertebrae” in the index. However, in ICD-9 CM nontraumatic compression fractures are considered pathological. Once the coder follows the instructions to “see Fracture, Pathological”; it is further noted that pathological fractures include ankle, femur fibula, hip, humerus, radius, tibia, ulna, vertebrae (collapse), wrist and specified site. It would seem that accuracy in coding compression fractures in ICD-10 CM will depend heavily on documenting whether the fracture is a traumatic or nontraumatic compression fracture AND by further clarifying whether or not compression fractures should be coded by site. Cynthia Brown, MBA, RHIT, CCS AHIMA Approved ICD-10 CM/PCS Trainer CyntCoding Health Information Services Phone: 404-992-8984/E-Fax: 678-805-4919 P.O. Box 3019 Decatur, GA 30031 cyntcoder@cyntcodinghealthinformationservices.com www.cyntcodinghealthinformationservices.com http://cyntcodinghealthinformationservices.blogspot.com Coding Yesterday’s Nomenclature Today® COMPRESSION FRACTURE CODING COMPARISON/CONTRAST IN ICD-9 CM/ICD-10 CM In the ICD-9 CM ALPHABETICAL INDEX Find Fracture; then subterm Compression You are instructed to See also Fracture by Site assuming the Fracture is of a Traumatic Nature If Fracture is Nontraumatic; you are intructed to see Fracture, Pathological In ICD-10 CM ALPHABETICAL INDEX Find Fracture, Tramumatic; then subterm Compression If Fracture is not due to trauma; you are instructed to see Collapse, Vertebrae
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