Wiki Fracture Care - Orthopedic grp

[NESmith]

We have a very large Orthopedic grp at our clinic but each provider has their own sub-specialty. My question is we had a patient that was referred to us by an ED physician with a left wrist fracture. The first orthopedic provider who saw the patient did an x-ray and put on a volar splint. He charged a 99204-57 and 25600-RT with dx 813.41. He then referred the patient to another ortho provider in the same grp that specializes in wrist and hand 7 days later. This physician saw the patient did an x-ray and recommended open reduction and internal fixation. He left him the removal splint. My question is can this provider also bill for the fracture care code 25600-RT?

 

[MARY K]

Even though all has a sub speciality are all drs' working under same tax id#? Are the sub speciality setup with the payers?

If all drs are working under same tax id# this visit would be billed as fx fu care under global rules. And when orif is done a modifier will be needed with code.