CCO Admin asked:
Can someone please help me understand the difference between; closed treatment; percutaneous treatment; and open treatment? Mostly in reference to codes; 25600; 25606; and 25607.
The Question from AAPC is OPERATIVE PROCEDURE: Reduction with application of an external fixation system; left wrist fracture. PROCEDURE: Under satisfactory general anesthesia; the fracture was manipulated and C-arm images were checked. The left upper extremity was prepped and draped in the usual sterile orthopedic fashion. Two small incisions were made over the second metacarpal and after removing soft tissues including tendinous structures out of the way; drawing was carried out and blunt-tipped pins were placed for the EBI external fixator. The frame was next placed and the site for the proximal pins was chosen. Small incision was made. Subcutaneous tissues were carried out of the way. The pin guide was placed and 2 holes were drilled and blunt-tipped pins placed. Fixator was assembled. C-arm images were checked. Fracture reduction appeared to be anatomic. Suturing was carried out where needed with 4-0 Vicryl interrupted subcutaneous and 4-0 nylon interrupted sutures. Sterile
dressings were applied. Vascular supply was noted to be satisfactory. Final frame tightening was carried out. What CPT
Can someone please help me understand the difference between; closed treatment; percutaneous treatment; and open treatment? Mostly in reference to codes; 25600; 25606; and 25607.
The Question from AAPC is OPERATIVE PROCEDURE: Reduction with application of an external fixation system; left wrist fracture. PROCEDURE: Under satisfactory general anesthesia; the fracture was manipulated and C-arm images were checked. The left upper extremity was prepped and draped in the usual sterile orthopedic fashion. Two small incisions were made over the second metacarpal and after removing soft tissues including tendinous structures out of the way; drawing was carried out and blunt-tipped pins were placed for the EBI external fixator. The frame was next placed and the site for the proximal pins was chosen. Small incision was made. Subcutaneous tissues were carried out of the way. The pin guide was placed and 2 holes were drilled and blunt-tipped pins placed. Fixator was assembled. C-arm images were checked. Fracture reduction appeared to be anatomic. Suturing was carried out where needed with 4-0 Vicryl interrupted subcutaneous and 4-0 nylon interrupted sutures. Sterile
dressings were applied. Vascular supply was noted to be satisfactory. Final frame tightening was carried out. What CPT
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