© Copyright 2025 American Medical Association. All rights reserved.
Closed treatment of a proximal end, neck fracture of the femur involves a non-invasive approach to manage a specific type of fracture located at the upper part of the femur, known as the neck. This procedure is indicated for cases where the fracture is nondisplaced, meaning that the bone fragments have not shifted from their original position. During the treatment, the physician will obtain separate radiographs, which are X-ray images, to confirm the presence and exact nature of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there is no compromise to these critical structures. In this context, the procedure does not require any manipulation of the fracture fragments, distinguishing it from other treatment options that may involve realigning displaced fragments. Post-treatment, the patient receives instructions to avoid putting weight on the injured leg and is typically provided with crutches or another form of walking aid to facilitate mobility while protecting the healing fracture.
© Copyright 2025 Coding Ahead. All rights reserved.
The closed treatment of a proximal end, neck fracture of the femur is indicated for specific conditions where the fracture is nondisplaced. The following are the explicitly provided indications for this procedure:
The closed treatment of a proximal end, neck fracture of the femur involves several key procedural steps that ensure proper management of the injury. The first step is to obtain separate radiographs, which are essential for confirming the diagnosis of the fracture and assessing its characteristics. These imaging studies provide a clear view of the bone structure and help in planning the appropriate treatment. Following the imaging, a comprehensive neurovascular examination is conducted. This examination is crucial as it evaluates the function of the nerves and blood vessels in the area surrounding the fracture, ensuring that there is no damage that could complicate healing or lead to further complications.
Once the fracture is confirmed and the neurovascular status is deemed intact, the physician proceeds with the closed treatment. In this case, since the fracture is nondisplaced, no manipulation of the fracture fragments is necessary. The focus is on stabilizing the injury and preventing further movement that could exacerbate the condition. After the treatment, the patient is given specific instructions regarding weight-bearing activities. It is essential for the patient to keep weight off the injured leg to promote healing. To assist with mobility during the recovery period, the patient is typically provided with crutches or another walking aid, which helps to alleviate pressure on the injured area while allowing for safe movement.
Post-procedure care for a closed treatment of a proximal end, neck fracture of the femur includes monitoring the patient's recovery and adherence to weight-bearing restrictions. The patient is advised to avoid putting weight on the affected leg to facilitate proper healing of the fracture. Follow-up appointments may be scheduled to assess the healing process through additional radiographs, ensuring that the fracture remains stable and that no complications arise. The healthcare provider may also provide guidance on pain management and rehabilitation exercises to restore mobility and strength as the healing progresses. It is important for the patient to follow all post-treatment instructions closely to achieve optimal recovery outcomes.
| Short Descr | TREAT THIGH FRACTURE | Medium Descr | CLTX FEM FX PROX END NCK W/O MANJ | Long Descr | Closed treatment of femoral fracture, proximal end, neck; without manipulation | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 146 - Treatment, fracture or dislocation of hip and femur |
| RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 55 | Postoperative management only: when 1 physician or other qualified health care professional performed the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | ET | Emergency services | FS | Split (or shared) evaluation and management visit | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.