Wiki Fracture Care, who gets it


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I have a question in regards to billing fracture care/global care. I have two different physician practices who cover for each other on call. The on call physician finds and admits the patient. The physician who is in another practice takes over the care and wants to charge fracture care from there. What would be the proper coding for this since the physicians are not in the same practice?

Joyce, CPC
Which physician treated the fracture?

If the admitting physician treated the fracture, I would bill fracture care with -54. If s/he only admitted the patient, I would bill fracture care with -56.

If the physician that assumed care treated the fracture, I would simply bill fracture care. If s/he is only doing post-procedure care, I would add -55.