![]() ![]() ![]() According to the ICD-10-CM guidelines, place of occurrence, activity and work status codes are only coded on the first visit. This includes timeframe, etiology, episode of care, injury site, cause, and place of occurrence. With ICD-10-CM, you must re-document or reference extensive details surrounding the circumstances of injury to ensure correct coding and proper claims processing. See patient in office in 4 weeks for repeat films, evaluation of surgical site and PT progression.ฤก.Updated orders sent to PT office and discussed with patient. Patient to begin daily rehab at PT Center tomorrow. Left femur fracture is healing appropriately.Scenario 1: Fracture Follow-Up Visit Assessment and Plan Each scenario is selectively coded to highlight specific topics therefore, only a subset of the relevant codes are presented. As patient history and circumstances will vary, these brief scenarios are illustrative in nature and should not be strictly interpreted or used as documentation and coding guidelines. In support of this objective, we have provided outpatient focused scenarios to illustrate specific ICD-10 documentation and coding nuances related to your specialty.The following scenarios were natively coded in ICD-10-CM and ICD-9-CM. Quality clinical documentation is essential for communicating the intent of an encounter, confirming medical necessity, and providing detail to support ICD-10 code selection. ![]() Scenario 4: Right Shoulder Pain & Possible Rotator Cuff Tear.Scenario 3: Tear of Medial Meniscus With Anterior Cruciate Ligament Injury.ICD-10 Clinical Scenarios for Orthopedics The clinical concepts for orthopedics guide includes common ICD-10 codes, clinical documentation tips and clinical scenarios. ![]()
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