Fracture Reduction failure

raidaste

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Chanute, KS
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The physician performed a closed reduction on a 5th MC fx under Fluroscopy. The procedure was fine and no complications. The postreduction xrays showed a loss of reduction after the patient was splinted. It was then decided to do an ORIF for the fracture 7 days after this reduction.
What's the appropriate way to code for this? Do I code the failed closed-reduction or just an e/m and splint application and then code the surgery when performed or can I charge for the closed reduction and the surgery with a modifier added to surgery?
Any ideas would be great. Thanks
 
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