February 17, 2021

We were having a discussion about an isolated hip fracture and are unsure if she should be included as we feel she falls in a sort of grey area. She was attempting to take her dog out for a walk and in his excitement he tripped by going under her feet and she fell from standing. Not sure is she should be PTOS or not. Should her mechanism be FFS or contact with dog? Please let us know what you think.

This scenario falls under W01.0 (tripping over animal). W01.0 does fall within the accepted code range for our solitary hip fracture exclusion. Therefore, based on the information provided, this patient would meet the exclusion and would NOT be captured as PTOS.

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