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March 14, 2022

Hi, we’re wondering if the following scenario should be picked up for PTOS. We had a patient come in for an MVC. She was admitted with injuries and met the LOS so was a PTOS on her first encounter. She then returned two days later and rib fxs that were not seen or addressed on her first admission were found. She was then admitted for those. They’re attributed to that initial MVC mechanism which was within two weeks.  Will this second encounter be PTOS as well? We see the exclusion for returning for the same “injury mechanism” but does this apply to new unaddressed injuries as well or returning with the same injury?

The patient would be NPTOS for the second encounter. This applies to existing injury and newly identified injury attributed to the same traumatic event.

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