September 30, 2022

I have a patient that was in the shower and fell. Does not state slipped on soap or anything in the shower, etc. Only injury is an isolated hip fx. Ortho is saying “fall on same level”. If you have something like this and there is really no mech other than a stated fall (like as if they were standing and nothing else) but they are standing in a tub at that time, would you include this as PTOS or does this still fall in the exclusion?

Fall in (into) shower or empty bathtub is coded to W18.2XXA. This code does not fall within the solitary hip fracture exclusion; therefore, the patient should be considered for PTOS.

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