Coding > Coding

fracture care

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Michele:
I agree, the situation you describe does look like an E&M would be appropriate in addition to the treatment of the fracture.

arms:
If a patient is seen for the first time and the decision for surgery is made the day of the procedure or the day before the procedure is performed, then the surgeon can report both the procedure (fracture) code and E/M code using a 57 (if it is the decision for surgery) or 25 (significant, separate service)modifier on the E/M code. 

Here is an article from the American Academy of Orthopaedic Surgeons that is very useful when providing fracture treatment. 

http://www6.aaos.org/news/PDFopen/PDFopen.cfm?page_url=http://www.aaos.org/news/aaosnow/jul08/managing2.asp

The fracture code would not require a modifier and don't forget to bill for casting supplies ie;fiberglass/plaster and xray which are not included in the global fracture care.

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