Question

The terms initial, subsequent, and sequela are useful in determining which digit of an ICD-10 code for a fracture?

A) Seventh
B) Fourth
C) Fifth
D) Sixth

Answer 1

The terms initial, subsequent, and sequela determine the appropriate seventh character in an ICD-10 code for a fracture, indicating the timing of the encounter for care.

Step-by-step explanation:

The terms initial, subsequent, and sequela are used in the ICD-10 coding system to indicate the timing of the encounter for care for conditions such as fractures. These terms help identify the appropriate seventh character of the ICD-10 code for a fracture. The seventh character is used to indicate whether the condition is at the initial encounter, a subsequent encounter for routine healing or complications, or a sequela (late effect) of the original condition. For example:

• 'A' indicates an initial encounter for active treatment.
• 'D' denotes a subsequent encounter for healing that is routine or has complications.
• 'S' reflects sequela for complications or conditions that arise as a direct result of a condition.

It is crucial to choose the correct seventh character as it impacts reimbursement and the description of the patient's medical condition.