I would never bill out fracture care for a single visit. The physician can choose between office visits or fracture care, whichever is best for the physician. However, you need to be practical as well. Do you really want to upset a patient with a bill for fracture care when they don't have to return? Since fracture care has a 90 day global, this really should not be billed unless you are going to follow the patient to make sure that the fracture heals in place. Otherwise, bill an office visit. You don't need to upset your patients.