S: Osteophyte, finger. Pt had trauma with laceration 1 year ago. Now has a bone spur protruding from finger and wants orthopedic referral.
O: (Nothing pertinent to finger, interestingly enough!)
A/P: Closed fracture of phalanx, 816.00.
I understand that a bone spur could be the result of an injury, so would I then code for injury of finger? I really don't see the fracture supported here (and no previous visits mention of a fracture).
Or is 726.91 (bone spur NOS) what is shown to be the condition documented in this note? (I hate to question the provider's assessment, but sometimes I just have to! I'm just trying to understand, I guess.)
Thanks in advance!
osteophyte after finger fracture
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