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ED Fracture Code 21310-54

M

mbarbour

Networker
Messages
25
Location
Raleigh, NC
In a coding scenario of 99283-25 & this 21310-54 nasal fracture w/o manipulation. We use the -25 on the E/M? Does anyone use a -57 on the E/M? Another ED physician billing I have talked to bills with a -57 on their E/M's.
 
Frequently fracture codes are billed with the E&M code having/needing/requiring the 57 modifier due to the global days for greater than 10. The rule of thumb is if it is a minor procedure, ordinarily further defines as having 10 days or less in the post op global then an E&M needs a 25, if it has great than 10 days it needs a 57.
 
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