dmaec
True Blue
ok fellow coders, what's your opinion on using the modifier .57 on an E/M level along with a fracture care code (not cast/splint application code).
For example would you code:
99213.57
27508
with the above codes, I'd only code out the fracture treatment code (and a Q-code), no E/M unless there were other issues addressed above and beyond the fracture.
To me, the modifier .57 belongs on the E/M if a decision for surgery was made the day of/ day before the surgery. To me, fracture treatment isn't "surgery" UNLESS they're taken into surgery, open repair, etc. at which point, I'd have no problem coding the E/M with the .57 and of course the surgical procedures would also be coded.
I'm being told (now)that fracture care "IS" surgery, due to the 90 day global -even if it's closed without manipulation!
I'm having trouble accepting this.
all opinions welcomed! help me see this one way or the other!
THANKS!
For example would you code:
99213.57
27508
with the above codes, I'd only code out the fracture treatment code (and a Q-code), no E/M unless there were other issues addressed above and beyond the fracture.
To me, the modifier .57 belongs on the E/M if a decision for surgery was made the day of/ day before the surgery. To me, fracture treatment isn't "surgery" UNLESS they're taken into surgery, open repair, etc. at which point, I'd have no problem coding the E/M with the .57 and of course the surgical procedures would also be coded.
I'm being told (now)that fracture care "IS" surgery, due to the 90 day global -even if it's closed without manipulation!
I'm having trouble accepting this.
all opinions welcomed! help me see this one way or the other!
THANKS!
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