fractures E/M scenario

kc-george

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If a patient was seen in a different hospital for fixation of a fracture, and then transfered to our care while still in global, CAN we legally bill E/M visits versus the modofier 54/55?

Thank you for any direction!

Cassandra
 

mitchellde

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If they are still in the global your E&M visits will not reimburse. You must use the V54.x dx code and then bill the fx code with the 55 modifier. If they did not bill global then you may bill with E&M codes,
 

kc-george

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Thank you for your help. I thought this, but was not sure if there were different cases where different stipulations would apply. This is excatly what I needed, thanks for your insight, as always!
 
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