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In the CPT® book, 28400 and 28405 are used when coding a calcaneal
fracture. What is the difference between these two codes? - 🧠 ANSWER
✔✔One includes manipulation and one does not. RATIONALE: Both codes
are used when coding a CLOSED treatment of a calcaneal fracture. Closed
Treatment means there is not an incision made over the fracture site. Code
28400 is "without manipulation" and code 28405 is "with manipulation."
Internal fixation is not a closed treatment procedure.
In the CPT® codebook, 25000 and 25001 are for incisions in the tendon
sheath on the wrist. Code 25000 is for the extensor tendon and 25001 is for
the flexor tendon sheath. What is the difference between extension and
flexion? - 🧠 ANSWER ✔✔Extension causes straightening of the wrist;
flexion causes bending of the wrist.
, RATIONALE: When muscles are named for their action, words like flexor
and extensor are often included in the name. Flexion is bending of a limb or
body part and Extension is straightening of a limb or body part.
How would compartment syndrome of the lower extremity caused by an
auto accident be listed in the ICD-10-CM Alphabetic Index? - 🧠 ANSWER
✔✔Syndrome/compartment/lower extremity
RATIONALE: Compartment syndrome is listed under Syndrome in ICD-10-
CM. Traumatic is considered the default unless specifically stated as
nontraumatic. An auto accident would be considered a traumatic injury.
How would you code a new pathological fracture of the right femur due to
postmenopausal osteoporosis? - 🧠 ANSWER ✔✔M80.051A
RATIONALE: Code M80.051A describes a pathological fracture of the right
femur; In the ICD-10-CM Alphabetic Index look up Fracture/
pathological/due to/osteoporosis/postmenopausal — see
Osteoporosis/postmenopausal/with pathologic fracture. You're directed to
M80.00. In the Alphabetic Index there is no listing for femur. Review the
subcategories for M80.0 in the Tabular List. Subcategory M80.05 is used to
Identify current pathological fracture of femur. 6th character 1 is used for
right femur and 7th character A is used for the initial encounter.