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Wiki E & M and Fracture Care

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rdavies

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ER provider sends the patient to an orthopedic provider for care of a fractured proximal humerus. The patient is new to the ortho provider so he charges a new patient visit (99202)+Fracture Care. He documents an HPI, Complete ROS and Exam is constitutional and musculoskeletal. MDM-sling and return in 3weeks for repeat xray. Question: What would be separately identifiable to bill the 99202. The ortho provider already knew the patient had a fracture because the ER provider already did the initial evaluation. I have read many articles that state you can bill the E&M but is it medically necessary to do both?

The patient was billed a 99202-25 and 23600.

Thank you
 
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