• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Need Verification on Guidelines

Create Wiki
R

raidaste

Guest
Messages
123
Location
Chanute, KS
Best answers
0
I need some updated opinions on acute vs. aftercare.
Pt was seen in ER aftering falling and after xray he had non-displaced fracture of the elbow. ER doc placed splint and referred him to ortho. Ortho rev'd xrays and removed splint and placed a different splint on pt. At his point does it become a/c for the ortho or would it still be acute and can the ortho code fx treatment w/o manipulation or just the application?
Any help would be greatly appreciated.
 
Need verification on guidelines

If the othopedic only looked at the x-rays received from the initial doctor and did not perform any fracture treatment, I would code V53.7 (Fitting and adjustment of Orthopedic devices) which includes removal of device and replacement of device.

Hope this helps. :)
 
Need verification of guideline

I would use 29105 because under "Application of Cast and Strapping" the guideline states that this code would apply when the cast or strapping application is a replacement procedure used during or after the period of follow up care. I would not use a regular OV E/M because the orthopedic did not do the history and exam, he just studied the x-ray that was sent to him/her and decided to only replace the splint without any restorative treatment. This code also includes removal of the splint.

Hope this was helpful. :)
 
You must log in or register to reply here.
Top