But is it also correct if the fracture has already been diagnosed like at the ER, then the patient comes to see the DR. they should only charge the fx care and not the E/M?You were told wrong. Think of fracture care the same way you would 20610. Same rules apply. If the patient is seen and your physician identifies a fracture the E/M is supported. Some offices follow the rule that you stated, but that's their choice.