kburow5446@gmail.com
Contributor
I code for the Emergency room and we see patients who are worked up and diagnosis with a fracture. There are usually xrays and labs being done and the injury is some sort of accident. We determine there is a fracture and the ER physician places a cast/splint. They are then referred over to an outside group/provider for further care and follow up. There are discrepancies on how a few of us are billing these. Some are billing only the cast/splint charge for the application if done by the physician himself (not if done by nursing). Others are billing an E/M ER visit along with the application charge. Some only bill an additional E/M if there are other things going on that the patient is being treated for. What is the correct way to bill for this.
So if the patient comes in for a broken ankle and we apply a cast, can we really bill an E/M in addition to the 29515?
If that same patient came in for a broken ankle and a head injury where we did a CT and provider medications for the pain....I can see billing the E/M along with the 29515.
Just would like to hear other thoughts on this.
Thank you
Kelly, COC
So if the patient comes in for a broken ankle and we apply a cast, can we really bill an E/M in addition to the 29515?
If that same patient came in for a broken ankle and a head injury where we did a CT and provider medications for the pain....I can see billing the E/M along with the 29515.
Just would like to hear other thoughts on this.
Thank you
Kelly, COC