PROGRESS NOTE PATIENT: FINKE, ISABEL
AGE: 15
DATE: 3/14/2015
NOTE: The patient states that she was riding her bicycle on the side of the road when a large dog ran out in front of her and forced her to crash into a drainage ditch. The patient hit her left arm on a cement drain pipe, suffering an oblique fracture to her left radius. The fracture was set with manipulation of the radial shaft. The arm was then casted in the usual fashion. The patient tolerated the procedure well and was asked to return to the office in one month for follow up x-ray and removal of the cast. How should you code for this fracture repair?

Question

Quizplus · Accepted Answer

You should code for this fracture repair with code 25505 (Closed Treatment of Radial Shaft Fracture; with Manipulation).The fracture was set with manipulation; therefore the code 25500 is not appropriate. Code 25500 does not include manipulation of the fracture, while code 25505 does. Code 22515 is also inappropriate because the fracture repair was closed and code 22515 is used for an open repair of the fracture