ER Closed Reduction vs. Open Repair

[wandatollison]

If an Orthopaedic Surgeon is called to the ER to perform a closed reduction and then performs surgery the following week which services can he bill? Would the closed surgical procedure converted to open procedure ICD-9 be appropriate?

 

[jdemar]

Which ICD-9 code are you looking at?

 

[nyyankees]

If an Orthopaedic Surgeon is called to the ER to perform a closed reduction and then performs surgery the following week which services can he bill? Would the closed surgical procedure converted to open procedure ICD-9 be appropriate?

I would bill the closed reduction in the ER and then bill out the ORIF a week later with a 58 modifier. You'll get 100% but the 58 mod will show a more complex procedure was needed. I would use the fracture Dx code on both as it is clear the fracture has not healed.

 

[jdemar]

I totally agree with nyyankees, but still wondered which ICD-9 code you were referring to?

 

[Evonne Sears]

she must be looking at a V code, but those are for I believe a scope converted to open

 

[jdemar]

Yes, that's what I was trying to bring to their attention.