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IUJ1J

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Reimbursement and QualityProblems With ICD-9-CM• Example – fracture of wrist– Patient fractures left wrist• A month later, fractures right wrist• ICD-9-CM does not identify left versus right –requires additional documentation– ICD-10-CM describes• Left versus right• Initial encounter, subsequent encounter• Routine healing, delayed healing, nonunion, ormalunionPat Brooks, CMS9

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