A 3-year-old is brought into the ED crying. He cannot bend his left arm after his older brother twisted it. X-ray is performed and the ED physician diagnoses the patient has a dislocated nursemaid elbow. The ED physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopedist for follow-up care. What CPT® and ICD-10-CM codes are reported? a. 24565-54-LT, S53.194S, Y33.XXXA b. 24640-54-LT, S53.091A, W50.2XXA c. 24600-54-LT, S53.002A, W49.9XXA d. 24640-54-LT, S53.032A, W50.2XXA
Question
A 3-year-old is brought into the ED crying. He cannot bend his left arm after his older brother twisted it. X-ray is performed and the ED physician diagnoses the patient has a dislocated nursemaid elbow. The ED physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopedist for follow-up care. What CPT® and ICD-10-CM codes are reported? a. 24565-54-LT, S53.194S, Y33.XXXA b. 24640-54-LT, S53.091A, W50.2XXA c. 24600-54-LT, S53.002A, W49.9XXA d. 24640-54-LT, S53.032A, W50.2XXA
Solution
The correct answer is b. 24640-54-LT, S53.091A, W50.2XXA.
Here's why:
CPT® code 24640-54-LT is used for closed treatment of radial head or neck dislocation, which is what the ED physician did when he successfully reduced the elbow. The modifier -54 indicates that only the professional component was provided, and the LT modifier indicates that the procedure was performed on the left side.
ICD-10-CM code S53.091A is used for a nursemaid's elbow, which is a radial head subluxation. The 'A' at the end of the code indicates that this is the initial encounter for the injury.
ICD-10-CM code W50.2XXA is used for accidental striking against or bumped into by another person, initial encounter. This code is used because the injury was caused by the patient's older brother twisting his arm.
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