fracture care - materials for the casting

kerileigh

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if you charge for fracture care can you charge for the materials for the casting??? This is new for me i would appreciate any help
 
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Effingham, IL
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:) Initial Fracture Care includes : first cast/splint or strap application is included in the treatment iof fracture and or dislocation codes (see page 143 of 2011 CPT) as long as the physician who applies the initial cast, strap or splint also assumes all of the subsequent fracture care.

Allowed to bill @ Initial Fracture Care
E & M w/Mod 57
Fracture Care By Body Site
Casting Supplies (HCPCS)
 
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dballard2004

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I'll wager an opinion here.

When reporting codes for fracture care, the casting is included in the fracture care code and yes, you can code for the supplies. I would recommend using the HCPCS Level II Q codes, or code 99070.

Hope this helps and again this is my opinion.
 

PLAIDMAN

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I went to a seminar given by Margie Scalley-Vaught and she specifically pointed out that you CAN charge for supplies even if you are using a global code.....no charge for application of cast/splint/ ....but supplies yes.

You can find this information on CMS transmittals both 297 and 369.

I have never had a problem when charging them.
 
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