Originally Posted by kathy a
Our physician saw a patient in the ER for a bi-malleollar fracture of the ankle. He casted her while in the ER and did take X-rays. He decided to admit the patient and to do an ORIF of the ankle the next day. Would I be able to charge the Admission-# 99222-25 with #27810-RT, and the Xray #73610-26, RT and then also charge # 27814-58-RT with fluoroscopy # 76000-26 for the next day? I'm not sure if I can bill both, since they were on different days? Thanks
Actually, I believe you could bill 27808, closed tx of bimalleolar ankle fracture, no E/M code, a 57 modifier on the 27808, and then the next day the 27814. Of course, this is as long as the documentation supports it. Basically, for the first day you can EITHER go with an E/M and cast application OR fracture care, depending upon the documenation and which way your orthopod wants to bill.