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Wiki Fracture care f/u from ER

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kcaskey03

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help! Thank you
 
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kcaskey03 said:
I have a patient that was seen in the ER and treated for a metacarpal fx and was provided a sling-patient told to follow up with our physician in the clinic . Our doctor is only doing the follow up. We billed an E&M but insurance is denying it stating its included in the allowance for another service (the fracture care). Can I have some guidance on what Im missing? Also the same patient then came back for another follow up of the fracture along with another symptom not relating to the fracture. Please help! Thank you
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What code did the ER use for the fracture care? And what insurance carrier are you dealing with? For the problem not related to the fracture you would use a modifier 24 to separate that service from the global period.
 
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