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Podiatry Coding & Billing Alert

Fracture Care:

Manipulative Fracture Care Attracts Hundred-Dollar Profit Difference

Published on Sun Nov 21, 2010

You shouldn't miss the $391.22 payout for 27781 by miscoding it with 27780. When your podiatrist performs fracture care, be sure to take advantage of manipulation opportunity or you could be losing out on your reimbursement without the appropriate manipulation knowledge. Say the podiatrist performs closed treatment on a fractured fibula; if she uses manipulation, the service is worth about $119 more than a nonmanipulation encounter. However, you should consider several factors you decide a manipulation warrants the treatment. Arm yourself with these 3 tips to get you started. 1. Know What You're Dealing With You can't support your claim if you have no idea what manipulation is. "Manipulation involves reduction or attempted reduction of the fracture or dislocation," explains Gerri Walk, RHIA, CCS-P, senior manager for Baltimore's Health Record Services Corporation. Podiatrists would typically perform a "closed" manipulation, which occurs when "the physician is repositioning or relocating a displaced [...]
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