Fracture Care & DME Equipment

Sueedwards

True Blue
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673
Location
Swainsboro/Statesboro
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I have a question:

A patient came in the ER with a fracture. The physician is treating with fracture care and applying a splint.

Now if the ER has DME Equipment, which on the splint it includes the application with the supply....

Is it double charging if I give my doctor the fracture care?

Thanks, Sue
 

Chanke

Guest
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90
Location
Missoula,MT
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The way we do it here (in a small rural hospital) is: we charge the appropriate E&M level and that is it. I use 3M and the walk thru asks if it is the intial provider or one who provides the aftercare as well. For the DME, all out of the box splints & casts we don't charge the splinting application on.

Does that even make sense??
 

alisonbee

Networker
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49
Location
Manchester, NH
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Splint and Supply

Facility Charge would be for the splint and the orthoglass (in our case) used.
We would also charge an E/M level.

I believe the MD charge would be for the CTX with -54 and E/M level, if appropriate, with a referral to an Ortho MD.
 

lesliealice

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As An orthopedic tech now taking and having to code in a clinical setting, if the fracture care is coded the only charge for DME is the cost of the brace, now if the patient was put in a post mold or temporary type splint, you can charge for the splint and fracture care. Also keep in mind there would be a charge for reduction if this was done in the ER. hope this helps.
Bonecoder!
 
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Regarding facility billing, my facility has always charged for the splint and application by RNs. I don't agree to charging for the "off the shelf product" and application without modification. I cannot find information/guidelines to state if the charging should be for one, the other or both. Can anyone provide clarification?
 
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