• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki coding a PX W/O doucumentation (25600)

Create Wiki
T

Trendale

Guest
Messages
230
Location
Katy, TX
Best answers
0
Hello,
Does anyone have a supporting documentaion link that states the physcian needs to document all surgeries, even if it is a closed reduction ( Treatment) of distal radial FX? I have a doctor that wants me to bill this without documenting it. He did a brief inpatient consult (99251) and stated he applied the patient in a cast and to F/U with him in four weeks. When the patient did come back in 4 wks he charged a new PT visit, when in essence it should have been a P/O visit if he did a closed reduction. To me, the consult should be coded and the cast only. Where is the information for me to code the closed reduction (25600)? His response was I should be able to determine what he did by looking at the DX from the xray report.
I don't know about you, but the way I was trained, if it is not documented, it never happened.
Thanks!
 
25600 is closed treatment of a distal radius fracture, not a closed reduction (25605). If the M.D. stated that he applied a cast, this is closed treatment and can be billed. However, it has a 90 day global period and he would not be able to bill a new patient visit when the pt came to the office for follow-up.
 
You must log in or register to reply here.
Top