We have a patient transferred in from another facility via EMS who only has a FFS isolated hip fracture, would she be PTOS...
We have a patient transferred in from another facility via EMS who only has a FFS isolated hip fracture, would she be PTOS or NPTOS?
For isolated hip fracture, if they meet one of the listed mechanism codes for fall on same level then they will not be PTOS. Fall from standing is generally nonPTOS, however, if they slipped on ice or were engaged in an activity (fell while standing on skis, for example), they would be PTOS. Let me know if you have any further questions.
W01. _ _ _A Fall on same level from slipping, tripping, and stumbling, initial encounter (includes with/without subsequent striking against object)
W03.XXXA Other fall on same level due to collision with another person, initial encounter
W18.30XA Fall on same level, unspecified, initial encounter
W18.31XA Fall on same level due to stepping on an object, initial encounter
W18.39XA Other fall on same level, initial encounter
W19.XXXA Unspecified fall, initial encounter
But does the transfer in from another hospital make a difference??
No, transfer in patients still have to have an injury diagnosis that is included, and exclusion always overrules. So if the only ICD-10 code is in the exclusion list (S72.00 – S72.26), and the mechanism is in the fall from same level code set, then the patient is nonPTOS.