Wiki 21310

[apoland]

Hi,
I need clarification on billing this code. I understand global fracture care billing, however this code throws me off. It does not involve splinting or manipulation so what exactly is it billing? I don't see how we can bill an office visit and also this code if the physician only looked at the fracture and recomended conservative treatment and the patient left. It feels like its mostly the exam portion of an E/M so why would it get billed. Help me please!

Thank you

 

[Orthocoderpgu]

You can bill an E/M & fracture care on the same date for the initial assesment

As always understand that not every insurance you deal with is going to follow this. But painting with a broad brush here you can bill for an E/M and fracture care for the first visit.

Think of it this way, a fracture needs to be assessed before the provider can give a recommend a course of action. So an office visit is justified.

Your going to have to look at the insurance and the office visit to decide what to do. Were all the key components met? Answering that question should help with the decision.