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Q&A: ICD-10-CM seventh character extensions for fractures

Q: Using the ICD-10-CM guidelines for the seventh character extensions for fracture codes, how should I identify each of the following?

  • Avascular necrosis following fracture
  • Cast change or removal
  • Emergency treatment
  • Evaluation and management by a new physician
  • Follow-up visits following fracture treatment
  • Infection on open fracture site
  • Malunion of fracture
  • Nonunion of fracture
  • Medication adjustment
  • Patient delayed seeking treatment for the fracture or nonunion
  •  Removal of external of internal fixation device
  • Surgical treatment

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