Wiki Follow up Fracture Billing

[cwilson3333]

Patient had a wrist fracture that was treated on 9-4, initial new patient visit.
I do itemized billing vs global fracture care. Charges entered for this visit were
99203-25
29075
Q4050-22 [fiberglass casting material]

Dx: 813.45
E917.5

Per dictation, how would the follow-up visit be coded:

CC: Cast Removal Left Wrist
IH: The cast was removed.
PE: Non Tender
Xrays: Look good
Plan: Be careful for 2 weeks. Follow up as needed

I'm looking at 99212 [no charge for the cast removal]
73100
DX: V54.12
813.45

Agree or disagree????

 

[mitchellde]

you never code the acute fx code for follow up code only the V54.12. I agree with the OV code.