Fracture Care vs No Fracture Care

Sueedwards

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There is a debate going between coders here at my facility. Maybe I can get some other opinions out there:

The patient presents to the ER with injuries. The physician diagnosis the patient with a zygote and orbital wall fracture and transfers the patient by ambulance to a bigger facility in a separate town.

The ER doctor did use ice; x-rays; and pain management.

Would you code this fracture care or just the E/M level?

Thanks, Susan
 

mitchellde

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Columbia, MO
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I would not unless the Er is going to assume all fracture care which includes the followup. I would bill only the ER level for the Physician, the facility will bill the splint code since it was applied by nursing staff.
 
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