orif metacarpal fracture cpt

WEEKS 0-1: Remain in post-operative hand splint. People seeking specific medical advice or assistance should contact a board certified physician. It's common in athletes and people who try to do too much activity too quickly. After 4-6 weeks, pin is removed easily in our office, and does not require another surgery. [ 3, 4] Meniscal repair and meniscectomy See Site Terms / Full Disclaimer. We told the surgeon that only one CPT code may be reported because a single cast was applied. ICD-9-CM Fracture Coding Care of complications of fractures, such as a malunion or a nonunion, are coded with appropriate codes for those conditions 733.81 and 733.82, respectively. 4 0 obj If union is complete return to full activities. 28485 Open treatment of metatarsal fracture, includes internal fixation. Codes are selected based on the . Open fractures are those in which the bone and/or joint is exposed to the external environment or a fracture or dislocation caused by a blunt or penetrating force sufficient to disrupt or penetrate skin layers, subcutaneous tissue, muscle fascia/muscle, and bones or joints. Issue: May 2013 / Site Terms | Copyright Information | ContactUs | Site Registration. We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. Ankle fracture open reduction and internal fixation. Prospectively collected data of 25 consecutive patients were evaluated retrospectively, assessing stability of fixation, operation time and the occurrence of fracture dislocation during and . Diagnosis is made by orthogonal radiographs the hand. This procedure requires general anesthesia (you'll be asleep . An open reduction is an invasive surgical bone realignment, as opposed to a closed reduction that's done without surgery or an incision. If an open fracture or dislocation is not present, use a. Q: The pediatric spine surgeons perform a procedure they call VEPTR. From the operative note, it appears that they are placing instrumentation only without any associated fusion. For private payers, who should be applying CPT rules, you should report the meniscal repair and the chondroplasty code 29877 with modifier 59 appended when the chondroplasty is performed in a different compartment than the meniscal repair. How does the orthopaedic surgeon report the bone graft? Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. Copyright 2023 Lineage Medical, Inc. All rights reserved. Last medically reviewed on January 16, 2019. The debridement of small amounts of devitalized or granulation tissue during a surgical procedure is typically not billed separately. What is the cpt code for ORIF for right 5th metacarpal? Perform gentle range of motion activities of the fingers. "American Academy of Orthopaedic Surgeons" and its associated seal and "American Association of Orthopaedic Surgeons" and its logo are all registered U.S. trademarks and may not be used without written permission. You will be discharged in a temporary splint that must be kept clean and dry until you are seen for follow up. After the bone heals, this hardware isnt removed. S62.336A- Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture. eyNNrX 'Rv&5a`JQ7>;xb3&'l. It is concluded that antegrade intramedullary splinting is superior to retrograde percutaneous crossed pinning and thus should be preferentially considered for displaced neck fractures of the fifth metacarpal. Fracture coding submenus; Hand Surgery CPT Codes, sorted by number; Extraarticular Metacarpal Fx CPT Codes; Metacarpal Injuries: Open Treatment CPT Codes . The subcutaneous tissue and skin were excised with a No. Metacarpal Shaft Fracture ORIF Indications Displaced MC shaft fracture (angulation >30 degrees, shortening >4mm, any rotational deformity) Metacarpal Shaft Fracture ORIF Contraindications Nondiscplaced fracture Medically unstable patient Active infection Metacarpal Shaft Fracture ORIF Alternatives After 48 hours you may shower. Epub 2021 Jul 15. Catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. <> The surgeon will cut the skin and move the bone back into the normal position. Metacarpal Fracture Procedure CPT Codes Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) Closed treatment of metacarpal fracture, single; with manipulation, with internal or external fixation, each bone (26607) A: Congratulations on performing an internal audit! When we queried why only one fracture care was paid, our Medicare You will wear your splint at all times for 4-6 weeks. CPT states that surgical procedures include the operation per se, local infiltration, metacarpal/digital block, or topical anesthesia when used, and normal, uncomplicated follow-up care. A splint was applied after the ORIF procedure to stabilize both fractures. Some nonviable muscle tissue was also debrided. All About Fractures of the 5th Metatarsal, What to Know About Distal Radius Fractures: Treatment, Recovery, and More, What to Know About a Stress Fracture in the Foot, What You Need to Know About a Broken Wrist. CPT codes 11010, 11011, and 11012 were revised to describe debridement at the site of an open fracture including removal of foreign material. A: AMA CPT rules describe codes 26615 and 26605 as follows: Note that in each description the instructions are to report the procedure code for each bone. Your scenario, as described, would be reported with 26615 and 26605-59. Teaching video 15 blades to bleeding tissue. Both fractures were non displaced and the hand surgeon applied a short arm cast. The metacarpal shaft fractures are often produced by longitudinal compression, torsion, or direct impact. With the pins in place, the stability of the fracture fixation and the rotational alignment are . The official definition of CPT code 26600 (Closed treatment of metacarpal fracture, single; without manipulation, each bone) instructs the physician to report CPT code 26600 for each bone that is fracture and treated without manipulation. For thumb metacarpal fractures, fashion a thumb-spica splint with the IP joint free. Metacarpal base fractures can present as both extra and intra-articular injuries. Q: We are a new practice and our coders are new to orthopaedic surgery coding. A stress fracture in the foot is an overuse injury. Specialist surgical procedure used to fix fractures. The information on this website is intended for orthopaedic surgeons. A: The surgeon reports the appropriate bone graft code20902 for a large bone graft or 20900 for a bone doweldepending on the work performed. 3 Months: Check xrays. Post-op: Splint in "safe" position (wrist extended 15-20 degrees, MCP joints flexed 70 degrees, PIP joint in 0-10 degrees flexion) 7-10 Days: remove splint. These fractures tend to be unstable, and bone healing is often prolonged. Generally, ORIF is an urgent surgery. Fractures occurring in the outer bones of the foot are called 5th metatarsal fractures. Is this correct? 12 ICD-9-CM Fracture Coding Late effects of fractures are reported using a fracture code indexed under the entry "Late" The answer is It depends on payor rules. 26615. Metatarsal Fracture ORIF Indications. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". For a better experience, please enable JavaScript in your browser before proceeding. synonyms:metacarpal shaft fracture ORIF, MC ORIF, MC shaft ORIF, metacarpal fixation, Metacarpal Shaft Fracture ORIF Indications, Metacarpal Shaft Fracture ORIF Contraindications, Metacarpal Shaft Fracture ORIF Alternatives, Metacarpal Shaft Fracture ORIF Pre-op Planning, Metacarpal Shaft Fracture ORIF Complications, Metacarpal Shaft Fracture ORIF Follow-up care, Metacarpal Shaft Fracture ORIF Review References, Site Terms | Copyright Information | ContactUs | Site Registration. Metacarpal Fractures are the most common hand injury and are divided into fractures of the head, neck, or shaft. This scenario does not meet the intent of modifier 58 because neither the joint injection nor the aspiration meets the staged or planned procedure definition. After a joint reconstruction, we have been billing for a joint injection for pain management or aspiration of an effusion in the operated joint with a modifier 58. A: VEPTR stands for vertical expandable prosthetic titanium rib. It is used to treat thoracic insufficiency syndrome, a congenital condition in which severe deformities of the chest, spine, and ribs prevent normal breathing and lung growth and development. However, youre more likely to develop complications if you smoke or have medical conditions such as: To limit your chances of complications, follow your doctors instructions before and after surgery. 1st metacarpal base intra-articular fracture (below). The information on this website is intended for orthopaedic surgeons. Lost revenue and costs exceed 10 billion dollars. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. To ensure accurate reporting, report the surgical CPT codes according to the AMA CPT rules; apply payor rules appropriately based (e.g., Medicare NCCI payment rules are applied for Medicare Part B beneficiaries; private payor rules will vary based on contractual agreements). While the information on this site is about health care issues and sports medicine, it is not medical advice. The information on this website may not be complete or accurate. An anesthesiologist will give you general anesthesia. Metacarpal Fractures Pathway Updated: 10/4/2016. Splints for metacarpal neck or head fractures should be extended to include the MCP joint in an intrinsic-plus position. But the same concept does not apply to meniscal repairs (29882 and 29883). These moves will help you regain strength and movement in the area. Dr. Knight successfully performs an open reduction and internal fixation (ORIF) procedure to repair a metacarpal fracture. The main goal of our organization is to assist physicians looking for billers and coders. Conclusions: Although for both techniques good functional outcomes were reported, the significance of the functional impairment after ORIF requiring reoperation suggests ORIF to be a less favorable technique for single, closed metacarpal shaft fractures. Nevertheless, it . Thanks for replying Tonya. Postoperative period services In total, 25 patients with unstable fractures at the base of the first metacarpal underwent closed reduction and percutaneous fixation of the fracture. This column addresses recently asked questions on coding orthopaedic procedures. For a smooth recovery, heres what you can do at home: Its important to attend all your checkups after surgery. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". Or lateral CPT 24358 - (2015). Metacarpal DCP Plating for Transverse Fracture, Metacarpal Fracture Closed Reduction and Pinning, Metacarpal Neutralization Plate with Lag Screw Fixation for Short Oblique Fracture, Surgical Excision of Dorsal Ganglion Cyst, concomitant and associated orthopaedic injuries, differential diagnosis and physical exam tests, documents failure of nonoperative management, describes accepted indications and contraindications for surgical intervention, diagnose and management of early complications, describe complications of surgery including, MCP or interphalangeal capsular contractures, describe the steps of the procedure verbally prior to the start of the case, patient placed in the supine position with hand on hand table, place tourniquet high on the affected extremity, make a longitudinal or curvilinear incision over the metacarpal head, this will facilitate the exposure of the fracture, use a dental pick or small pointed reduction forceps to reduce the fracture, insert guidewires from a cannulated headless screw set, insert headless screws over the guidewires, check the screw placement and fracture reduction radiographically, close the periosteum and the interosseous muscle fascia over the plate, this provides a smooth gliding surface for the extensor mechanism, close the extensor mechanism with 4-0 nonabsorbable suture, schedule follow up appointment in 2 weeks. It is not intended for the general public. Can you help clarify this scenario? ORIFF/CRPPsurgical and non-surgical approaches to resetting bones. The area was then copiously irrigated, and a dressing was placed. Per CPT definition, fracture care should be described by the type of treatment rendered and not by the type of fracture. Get the facts on fractures and learn about diagnosis and treatment. When multiple injuries occur, it may be necessary for the physician to perform multiple procedures to restore lost functioning. Depending on your surgery, you may go home that day or you might stay in the hospital for one to several days. Open reduction internal fixation (ORIF) involves a surgical approach to "reducing" or resetting the bones. It is important to elevate your arm on a couple of pillows to alleviate pain and swelling. 2008-2023 eORIF LLC. Open Reduction and Internal Fixation (ORIF) involves fixing severely broken bones and placing them back together using pins, plates, or screws. An orthopedic surgeon cuts the skin, re-positions the bone, and holds it together with metal hardware like plates or screws. ORIF isnt for minor fractures that can be healed with a cast or splint. registered for member area and forum access. The Center for Medicare and Medicaid Services (CMS) via the National Correct Coding Initiatives (NCCI) published Medicare payment rules for Part B Medicare. xk~]A 'vZI|u This will put you in a deep sleep during the surgery so you wont feel any pain. They are described by the appearance of their respective fracture patterns and can be divided by transverse, oblique, spiral, and comminuted. Internal fixation means the bones are held together with hardware like metal pins, plates, rods, or screws. 28485 Open treatment of metatarsal fracture, includes internal fixation. Metacarpal Fractures and Dislocations Treatment & Management Updated: Jan 19, 2023 Author: James Neal Long, MD, FACS; Chief Editor: Joseph A Molnar, MD, PhD, FACS more. Podiatric bone graft Both CRPP and ORIF are viable techniques with good clinical outcomes and low complication rates. *This response is based on the best information available as of 06/08/17. I reviewed CPT 20900 but thought not to bill because it states 'autogenous' bone graft/harvest. % Theyll also check the nerves near the broken bone. (n.d.). SomeAAOS Nowarticles are available only to AAOS members. Ensure screw purchase in 4 cortices (2 plate holes) on both sides of the fracture, Consider cancellous bone graft from proximal ipsilateral ulna, distal radius, or iliac crest if needed. 1 0 obj Question: Bennett fragment>20% of the articular surface:ORIF. This surgery is performed on an outpatient basis meaning you will be able to go home that day. For that, you will require modifiers (-51, -58, -78). The arthrodesis code does not include the harvest of bone graft in its description so I dont think this is cosurgery. Metacarpal Fracture with ORIF 1160 Kepler Drive 1 | Page Green Bay, WI 54311 920-288-5555 . Every surgery is different. Debridement of an open fracture and/or dislocation is not accurately described with the 1104211047 CPT codes. After pin removal, you will be referred for Occupational Therapy of the affected hand and wrist. Dr. Hand reports one CPT code if this patient was Granny, who has Medicare Part B coverage. There are several types of humerus fractures, depending on the location of the. It's paid for under the resources used by the facility. The hand surgeon submitted two CPT codes, one for the metacarpal fracture and one for the distal radius fracture. Michael J. Garcia, MD, (Tampa, FL) presents metacarpal fracture fixation using an intramedullary, partially threaded Compression PT Screw. summary. describe the steps of the procedure verbally prior to the start of the case 2. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position. Be sure to follow CPT coding rules and the AAOS Complete Global Service Data for Orthopaedic Surgery when reporting all services. You might be put on a breathing tube to help you breathe properly. Metatarsal Fracture ORIF Contraindications. G56.01 - Carpal tunnel syndrome, right upper limb, G56.02 - Carpal tunnel syndrome, left upper limb, M72.0 - Palmar fascial fibromatosis [Dupuytren], M65.041 - Abscess of tendon sheath, right hand, M65.042 - Abscess of tendon sheath, left hand, S63.8X1A Sprain other right wrist and hand, Z96.631 Presence of right artificial wrist joint, S63.38X2A Sprain other left wrist and hand, Z96.632 Presence of left artificial wrist joint, S63.8X1A Sprain other right hand and wrist, S63.8X2A Sprain other left wrist and hand, S62.211A Bennett fracture right hand, initial closed, S62.212A Bennett fracture left hand, initial closed, Carpometacarpal Fracture- Dislocation S63.056A, S62.109A, S62.309A, Carpometacarpal fracture dislocation CRPP 26676, S63.054A Dislocation of other carpometacarpal joint of right hand, initial encounter, S63.055A Dislocation of other carpometacarpal joint of left hand, initial encounter, M19.041 Primary osteoarthritis, right hand, M19.042 Primary osteoarthritis, left hand, Distal Phalanx Fracture Open treatment 26765, S52.501A Unspecified fracture of the lower end of right radius, initial encounter closed fracture, S52.531A Colles' fracture of right radius, initial encouter for closed fracture, S52.502A Unspecified fracture of the lower end of left radius, initial encounter closed fracture, S52.532A Colles' fracture of left radius, initial encouter for closed fracture, S63.011A Subluxation of distal radioulnar joint of right wrist, initial encounter, S63.014A Dislocation of distal radioulnar joint of right wrist, initial encounter, S63.012A Subluxation of distal radioulnar joint of left wrist, initial encounter, S63.015A Dislocation of distal radioulnar joint of left wrist, initial encounter, Dupuytren's Contracture Excision CPT 26123, Extensor Tendon Injuries M66.249 S61.409A S66.929A, S66.22_A Laceration of extensor at wrist and hand level, right, S56.42_A Laceration of extensor at forearm level, right, S66.22_A Laceration of extensor at wrist and hand level, left, S56.42_A Laceration of extensor at forearm level, left, Flexor tendon sheath Irrigation and debridement 26020, M65.841 Other synvitis and tenosynovitis, right hand, M65.842 Other synvitis and tenosynovitis, left hand, S63.63_A Sprain interphalangeal joint right _finger, initial, S63.63_A Sprain interphalangeal joint left _finger, initial, Metacarpal Neck Fracture ORIF/ CRPP 26615, S62.336A- Displaced fracture of neck of fifth metacarpal bone, right hand, initial encounter for closed fracture, S62.337A- Displaced fracture of neck of fifth metacarpal bone, leftt hand, initial encounter for closed fracture, M19.041 Primary Osteoarthritis, right hand, Phalangeal Shaft Fracture S62.509A S62.609A, M19.041- Primary osteoarthritis, right hand, S63.511A Sprain carpal joint right wrist, initial, S63.512A Sprain carpal joint left wrist, initial, M19.042 Primary osteoarthritis of left hand, S63.114A Dislocation metacarpophalangeal joint right thumb, initial, S63.115A Dislocation metacarpophalangeal joint left thumb, initial, Thumb Ulnar Collateral ligament injury S63.649A, S63.641A Sprain metacarpophalangeal joint right thumb, initial, S63.642A Sprain metacarpophalangeal joint leftt thumb, initial, M19.031 Primary osteoarthritis, right wrist, M19.032 Primary Osteoarthritis, left wrist, Anterior Interosseous Nerve Syndrome G56.10 354.1, Carpal Tunnel syndrome (CTS) G56.00 354.0, Carpometacarpal Fracture - Dislocation S63.056A S62.109A S62.309A 833.04, Carpometacarpal Fracture-Dislocation CRPP 26676, Congenital Radioulnar Synostosis Q74.0 755.53, Distal Phalanx Fracture Open Treatment 26765, Distal Radioulnar Joint Arthritis M19.039 715.13, DRUJ Instability / Dislocation S63.016A 833.01, Extensor Carpi Ulnaris Subluxation S63.509A 842.00, Extensor Carpi Ulnaris Tendonitis M65.849 727.05, Extensor Tendon Injuries M66.249 S61.409A S66.929A 883.2, Flexor Carpi Radialis Tendonitis M65.849 727.05, Flexor Tendon Tenosynovitis M65.849 727.0, Giant Cell Tumor of the Tendon Sheath Images, Metacarpal Neck Fracture ORIF / CRPP 26615, Metacarpal Shaft Fracture S62.329A 815.03, Metacarpophalageal Joint Dislocation S63.116A 834.01, Phalangeal Base Fracture S62.509A S62.609A 816.00, Phalangeal Metacarpal Malunion/Nonunion S62.90XK 733.81, Phalangeal Neck Fracture S62.509A S62.609A 816.00, Phalangeal Shaft Fracture S62.509A S62.609A 816.00, PIP Fracture / Dislocation S63.279A 834.02, Radial Sided Wrist Pain Differential Diagnosis, Scaphoid Nonunion Advanced Collapse S62.023K 733.82, Scapholunate Advanced Collapse M19.039 715.13, Scapholunate Ligament Repair-Bruneli 25320, Thumb Basilar Joint Arthritis Classification, Thumb Basilar Joint Arthritis M19.049 715.14, Thumb Metacarpal Fracture S62.246A 815.03, Thumb Ulnar Collateral Ligament Injury S63.649A 842.12, Ulnocarpal Impaction Syndrome M24.839 718.83. In the United States, upper-extremity injuries result in over 16 million days off of work and a further 90 million days of restricted activity. 1995-2023 by the American Academy of Orthopaedic Surgeons. If plate is not pre-bent the volar cortex will gap open when the plate is secured. If the hardware gets infected, it might need to be removed. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". They are classified into fractures of the head, neck, and shaft and may be associated with soft tissue injury such as tendon lacerations and neurovascular injury. Who is right? Excellent results can The majority of isolated metacarpal fractures are effectively managed with closed reduction and splint immobilization. Metatarsal Fracture ORIF CPT. Metacarpal Injuries: Open Treatment CPT Codes Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bone (26615) Open treatment of articular fracture, involving metacarpophalangeal or proximal interphalangeal joint, with or without internal or external fixation, each (26746) If this is your first visit, be sure to check out the. How to Increase Revenue of Behavioral Health Practice? The first part is open reduction. endobj It is important that you do not submerge your surgical incision in water (i.e. If plates or screws are used to fix the fracture they will remain in place indefinitely, unless causing pain for patient. As with any surgery, there are potential risks and side effects associated with ORIF. See all Metatarsal fracture CPT codes. Address : 823 129th Infantry Drive,Suite 103, Joliet, IL 60435. VEPTR insertion KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Total Thyroidectomy and Reimplantation of Parathyroids, Tympanoplasty with Middle Ear Exploration. In such cases, you should accurately report all of the work involved. Sutures will remain in place for 10-14 days. The type of hardware used depends on the location and type of fracture. Emergency departments usually have a high inflow of patients with hand injuries, and metacarpal fractures represent around half (40%) of these hand injuries [1, 2].Metacarpal fractures often comprise a large proportion of all hand fractures and fractures below the elbow, particularly in industrialized environments such as the USA [2,3,4].Either accidental falls or direct impact trauma is . Pre-bend plate with gradual 5 degree contour over the entire length of the plate. Closed reduction and percutaneous pinning is commonly used for low-energy metacarpal shaft and neck fractures (Figs. Open Reduction Of Fracture With Internal Fixation, Carpals And Metacarpals. Preserve the vascular supply that enters through the dorsoradial ridge. Open treatment refers to the . Here's how to tell if your wrist is broken and what to. While coding note that, debridement is separately billable when it makes up a significant portion of the procedure. People seeking specific medical advice or assistance should contact a board certified physician. These fractures tend to be unstable and if they are displaced or multiple (as in the picture below) surgery will be recommended. Your doctor will tell you when you can apply weight on the ankle. For the debridement of an open fracture includes only skin and subcutaneous tissue, use code 11010; debridement down to the muscle fascia and muscle, code 11011; and debridement that includes skin, muscle fascia, muscle, and bone, code 11012. Assess motion, consider occupational therapy if indicated. Recovery can take longer if you develop complications after surgery. Depending on your. What is an ORIF? This is a fracture through the "shaft" of the bone, which is the middle section. Q: The podiatrist in our office recently performed an arthrodesis procedure that required bone graft to be harvested from the iliac crest. Treatment ranges from splint immobilization for certain extra-articular fractures to surgical fixation for . The surgeon is in total disagreement and asked we reach out to KZA. A. cpt code for orif greater tuberosity fracture. CPT Codes for Hand and Finger Fractures: ICD Counterpart Codes: Closed Treatment without Manipulation: Closed Treatment with Manipulation: Closed Reduction with External Fixation: Percutaneous Pin Fixation: Open Reduction with or without Fixation: Metacarpal: Bennett: Phalangeal Shaft, Proximal / Middle: If you have an arm fracture, you may go home later that day. You will follow up with us in the office 1-2 days after the procedure. 26615Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone, 26605Closed treatment of metacarpal fracture, single; with manipulation, each bone. View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. 35-1 and 35-2 ). The information on this website may not be complete or accurate. WebS72. These bones are analogous to the metacarpal bones found in the hand. AAOS Now / Rasouli MR, et al. 79.33 is a specific code and is valid to identify a procedure. Metacarpal shaft fractures Diagnosis Radiographic diagnosis confirmed by history, physical exam, and radiographs Treatment Nonoperative immobilization indications may be used for extra-articular non-displaced fracture Operative ORIF indications most fractures are intra-articular and require open reduction technique That's what I get for going by Cpt book only. With this technique, K-wires are inserted with a . Open Reduction and Internal Fixation (ORIF) involves fixing severely broken bones and placing them back together using pins, plates, or screws. Two days later, the patient was returned to OR and the dressing was removed. CPT Coding. 2012 ICD-9-CM Procedure 79. KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. The goal of the metatarsal fracture fixation (open reduction and internal fixation) procedure is to correct a fracture of one or more of the long bones of the foot, called the metatarsus.

Republic Services Yard Waste Schedule 2022, High Speed Chase Oxford Al Today, Jailbird Pitt County, Sylvia Browne Funeral, What Information Is Contained In A Radio Guard Chart?, Articles O