Question FRACTURE COMPLEXITY ???

Kaitbohrer

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WHAT ARE WE CONSIDERING FRACTURES AS FAR AS COMPLEXITY?

MINIMAL, LOW, MODERATE, HIGH???

BASED ON AMA MEDICAL DECISION MAKING CHART - ARE FRACTURES "SELF-LIMITED OR MINOR PROBLEM", "ACUTE COMPLICATED INJURY" ..... OR SOMETHING ELSE?

DOES IT DEPEND ON THE TYPE OF FRACTURE?

SIDE NOTE/QUESTION: IS CASTING CONSIDERED "MINOR SURGERY"
 

csardone

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I would say it depends on the fracture but usually if you have a fracture you use cpt code not E/M. Unless they are going to surgery sameday/next day
 

Kaitbohrer

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Right. But say we see new patient, with fracture. Cast in office. We could charge 99213/99214-25 W/ closed Fx care code.
 

Alfaro33

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WHAT ARE WE CONSIDERING FRACTURES AS FAR AS COMPLEXITY?

MINIMAL, LOW, MODERATE, HIGH???

BASED ON AMA MEDICAL DECISION MAKING CHART - ARE FRACTURES "SELF-LIMITED OR MINOR PROBLEM", "ACUTE COMPLICATED INJURY" ..... OR SOMETHING ELSE?

DOES IT DEPEND ON THE TYPE OF FRACTURE?

SIDE NOTE/QUESTION: IS CASTING CONSIDERED "MINOR SURGERY"
Fracture would be an Acute complicated injury for a Moderate complexity problem.
Based on the definitions provided by the AMA, an uncomplicated injury example would be a a simple stain therefore I'm understanding it as as fractures would be a complicated injury.

Definitions of the elements begin on page 4

 

Kaitbohrer

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