CCS Practice Exam 2023
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A 12-year-old boy was seen in an ambulatory surgical center for pain in his right
... [Show More] arm.
The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture right
proximal ulna and an elbow-to-finger cast was applied. What diagnostic and procedure
codes should be assigned?
S52.101AUnspecified fracture of upper end of right radius, initial encounter for closed
fracture
S52.101BUnspecified fracture of upper end of right radius, initial encounter for open
fracture
S52.001AUnspecified fracture of upper end of right ulna, initial encounter for closed
fracture
S52.001BUnspecified fracture of upper end of right ulna, initial encounter for open
fracture
0PSH0ZZReposition right radius, open approach
0PSK0ZZReposition right ulna, open approach
24670Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid
process(es) ); without manipulation
24675Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid
process(es) ); with manipulation
25560Closed treatment of radial and ulnar shaft fractures; without manipulation
29075Application, cast; elbow to finger (short arm)
a. S52.101A, S52.001A, 0PSK0ZZ
b. S52.101B, S52.001B, 0PSH0ZZ
c. S52.101B, S52.001B, 25560, 29075
d. S52.001A, 24675 - answer-Correct Answer: D
The patient has a fracture of the right proximal ulna and closed reduction is necessary.
In the ICD-10-CM Code Book, under Fracture, ulna, proximal, the coder is referred to
Fracture, ulna, upper end. The term "manipulation" is used to indicate reduction in CPT.
According to CPT guidelines, cast application or strapping (including removal) is only
reported as a replacement procedure or when the cast application or strapping is an
initial service performed without a restorative treatment or procedure (AMA CPT
Professional Edition 2020, 182). (Note: Since this is an ambulatory surgery center case,
CPT codes are assigned rather than ICD-10-PCS codes.) [Show Less]