Wiki ICD-10 for ER f/u with primary care provider

[nvelasquez@accelhc.org]

As a primary care provider office, are we allowed to bill ICD-10 S82.891A (Other fracture of right lower leg, initial encounter for closed fracture)? A patient was seen at an out of town ER, and has come in for her f/u appointment. The ER radiology records confirm an acute, nondisplaced posterior malleolar fracture.

 

[thomas7331]

Yes, for any and all encounters involving the initial treatment phase of the fracture, you would continue to bill the seventh character 'A' diagnosis code. Once the initial evaluation and treatment phase is complete and the patient is into the healing phase, that's when the diagnosis changes.

 

[nvelasquez@accelhc.org]

Yes, for any and all encounters involving the initial treatment phase of the fracture, you would continue to bill the seventh character 'A' diagnosis code. Once the initial evaluation and treatment phase is complete and the patient is into the healing phase, that's when the diagnosis changes.

Thank you for your time.
Is it appropriate to bill ICD-10 S82.891D (Other fracture of right lower leg, subsequent encounter for closed fracture with routine healing), once she has seen an orthopedic specialist, and the patient returns to their primary care provider for a f/u?