I have a question about a patient that fell came into Ed and diagnosed with L4 compression fx. Patient was given pain medication and sent home from ED. Three days later patient got stuck on toilet and called EMS and was then brought in and admitted for greater than 36 hours for intractable back pain with no OR’s performed. Would the second encounter be picked up as PTOS?
If this second encounter is based on the same injury due to the fall as the first encounter, you will not capture as PTOS. If there is documentation that there was a new injury mechanism (i.e. another fall), the patient would be considered for PTOS as long as there was also a diagnosis that falls within our inclusion code range.
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