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Wiki fracture billing for children hospital

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rcbaker

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Houston, TX
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1.when a patient come in for fracture treatment, do you bill e/m-25,fracture code,supplies,x-ray?

2. how do you bill when they come back for a replacement cast,strappling,splint?
3. how do you bill for clubfoot?
 
Hospital or Physician coding?

Please specify if you are coding for the hospital or for the physician.

If billing for the physician - in general for fracture care initial visit you'd use -57 modifier (decision for surgery) as fracture care codes - even closed treatment - are considered "major surgery" (90-day global). Follow-up visits would be 99024 NC F/U.

F Tessa Bartels, CPC, CEMC
 
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