|Q:||Our office has a patient with a compression fracture of the vertebra that was diagnosed in 2009. Our PCP continues to check off the ICD-9-CM code 733.13. Is this correct? How is a vertebral fracture different from an arm fracture?|
It’s not different. Fractures are coded when they occur and for the time the patient is receiving treatment or medication.
The ICD-9-CM code of 733.13 is also used when the PCP documents “chronic fracture” or “pathologic fracture.” These fractures are caused by a preexisting disease, such as bone cysts and tumors, hyperparathyroidism, nutritional maladies, congenital anomalies, osteoporosis, Paget’s disease, or osteomyelitis.
When a pathologic fracture heals, it is coded as v13.51.