• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Closed Fracture Care and Open Fracture Care

kathy a

Guru
Messages
127
Best answers
0
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
 

risnerclan

Networker
Messages
68
Best answers
0
if he did not manipulate the fracture no you would not charge 27810, sounds like he just casted the patient until he could operate the following day.
 
Messages
166
Best answers
0
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.

Thanx,
MaryAnne
 

Donna T

Guest
Messages
114
Best answers
0
I don't believe you can append a -57 modifier to code 27808. I do agree though that for the ER you'd either do the E/M (with a -57 modifier), cast application and xray or the fracture care and xray. Hope this is helpful!
 
Top