Wiki Fracture Care

sloseke

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Wheatland , WY
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One of my doctor's saw a patient in the office for a suspected fracture. In his note he diagnosed her with a left supracondylar fracture. He decided to treat this nonoperatively and planned to see the patient back in a week. I charged out fracture care for a closed treatment of a supracondylar fracture.
When the patient returned for a follow up visit, new xrays were obtained and doctor says this most likely is not a fracture and is "probably" just a sprain. Since he is no longer diagnosing this as a fracture, do I need to go back and change the initial visit from fracture care to a new patient E/M?

I haven't come across this situation before and any help or input would be appreciated!!
Thanks!
 
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