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Wiki Denials for inpatient E/M when billed with non-manipulated fracture code

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holsonf

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Walpole, MA
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We're getting a lot of denials for our E/M service when it's billed with a non-manipulated fracture code. For example 99221/57 with 27808 (Closed treatment of bimalleolar ankle fracture ; without manipulation). The E/M is clearly a 99221 we're attaching the proper modifier seeing this is a 90 day global period. They're paying the fracture code but denying the E/M. We aren't seeing as many denials if the person has surgery or if the E/M is billed with a fracture code with manipulation. Anyone else having this issue?
 
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