Coding Strategies:
Count Your RVUs When Reporting Multiple Fractures
Published on Fri Dec 14, 2012
Apply this sequencing advice to ethically maximize reimbursement. Not paying attention to work units for all the fractures that your surgeon is treating can turn these procedures into a cash sink hole. The solution? Ensure you are paid the highest value code at the highest percent of payment and keep in mind that codes submitted beyond the first may then be reimbursed at half of their values. Follow our expert advice on sequencing. (For more on reporting multiple fractures with E/M services, see the last issue of Orthopedic Coding Alert Vol.15, No. 12.) Grasp Hierarchy Fundamentals You’ll order your fracture codes using the RVU listing for the fracture codes. "The services should be listed in order of RVU hierarchy on the claim form to avoid potential issues under reimbursement. Improper ordering can lead to a multiple procedure discount on a higher valued procedure if the highest valued procedure is listed [...]
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