• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Global Fracture/help!

CSTANTON

New
Messages
5
Best answers
0
We have a patient who is in a global for a tib/fib fracture--she has fallen again and fractured the same leg in a different location. Can we now bill an E/M visit even though the patient is already in a global for the previous fracture of the same leg? If so-what modifier would we use-24?
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
What about additional fracture care?

Definitely -24 modifier
Are you also making a decision to treat a new fracture and providing a new fracture treatment?
Then you might also want -57 decision for surgery, in addition to your fracture treatment CPT.

Be prepared for a denial and for having to appeal. Be sure your MD documents thoroughly.

Let us know what happens.
F Tessa Bartels, CPC
 
Top