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Q: LOCATION: Outpatient, Hospital PATIENT: Kelli Klarkor SURGEON: Mohomad Almaz, MD DIAGNOSIS: Displaced fractured base, left first metacarpal PROCEDURE PERFORMED: Closed reduction of metacarpal
fracture INDICATION: Kelli is a 15-year-old girl who fell while roller blading. She has a fractured her left thumb and will need manipulation to put it back in place. I have recommended a closed reduction and thumb spica cast application. The mother agrees with this. PROCEDURE: Under a satisfactory level of sedation the fracture was carefully manipulated and a well-padded and very well-molded fiberglass cast was placed over the base of the thumb. After this was applied, we applied repeat mini C-arm views and confirmed improvement in position of the fracture but still not in anatomic position. Where it is presently, if it heals, it still will be completely functional. I reviewed this with the mother, and I have recommended that we cast this and re-manipulate it as the swelling goes down, and we will do this sometime next week. I need the cpt-4 code for medical reimbursement
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Asked 2/2/2013 3:14:09 PM
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