Wiki fracture management

[risnerclan]

Does anyone have any documention that shows that you should not or can't bill a manangment of a fracture when the medical decision making has not been made due to the physician ordering a CT and in his report it states "will order CT and patient may need surgical intervetion pending CT results".

Thanks for your help!

Carol

 

[mbort]

Does anyone have any documention that shows that you should not or can't bill a manangment of a fracture when the medical decision making has not been made due to the physician ordering a CT and in his report it states "will order CT and patient may need surgical intervetion pending CT results".

Thanks for your help!

Carol

To me, the fracture is not confirmed during the E/M visit and therefore can not be coded or billed until this has been confirmed. Same concept as "probable"