I think they mean the cpt code for the treatment of the fracture, whether they apply a cast, or a splint. What kind of office is it? Usually a fracture is diagnosed by one dr, then patient is referred to ortho dr for treatment. In that case, the fracture was already diagnosed, by exam and/or xray. Then the ortho dr usually does their own xrays and treats the fracture, they bill for the xray (both tc & pc) and the treatment, not usually an E&M.