• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Fracture Care - family practice

KHH

Networker
Messages
71
Location
COASTAL CODERS-CONWAY,SC
Best answers
0
Need some better understanding-I work in a family practice office-my Dr is
a DO. We have pt that come in with broken finger, toes,hair line fractures
that do not require casting. My question is actuallly what code do i bill
for when he states fracture care w/xray
 
Messages
222
Best answers
0
Need some better understanding-I work in a family practice office-my Dr is
a DO. We have pt that come in with broken finger, toes,hair line fractures
that do not require casting. My question is actuallly what code do i bill
for when he states fracture care w/xray
Reply-
Fracture care with x-ray, covers x-rays.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Fracture care

If fracture care is documented I'd use the appropriate closed fracture treatment code for the bone(s) involved. Xrays are separately reportable.

Note that most of the closed fracture codes will have a 90-day global period for follow-up visits.

Replacement casts/splints used during the global period would also be separately reportable. (Only the first cast/splint is included in the fracture care code.)

You'll have to read the fracture care codes carefully because there are many qualifiers - in addition to open vs closed, there's with or without manipulation, without or without fixation, etc.

Good luck!
F Tessa Bartels, CPC
 
Top