I'm new to Ortho coding and have been having some trouble with it. I bill for just the physician's at a hospital. I recently starting billing for our Ortho clinic, if patient comes in for fracture care and requires reduction how do i determine if i use the E/M with -57 or just the fracture code ? I was told to use just the major surgery codes because we follow 90 day global and the initial visit is included. Patient are referred to us alot so it's usually the first time they are being seen at our facility, so if they are a new patient and require reduction it is truely a decision for major surgery, so would i bill the reduction and E/M with -57 or just the reduction ?