Fracture Care - established patient

akbiller

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Anchorage, Alaska
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If the physician sees an established patient for a closed radial head fracture, takes xrays, no reduction or manipulation, no cast or splint and tells the patient to return in 1 to 2 weeks for follow up care and intends to provide all necessary follow up care for the fracture can a fracture care CPT code be billed?
 

OCD_coder

True Blue
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Nashville AAPC Chapter
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You are describing definitive care. You don't have to have a reduction to code fracture care. Use the fracture care CPT code for the specific bone that is fractured, without manipulation. Because there is no manipulation done, this is primarily postop work being done and pain management.

It is up to the physician to code fracture care as he is giving his services for free for 90 days for treatment of the fracture.
 
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