Wiki Orthopedics

[laruffin]

I need some assistance please. My doctor saw a patient who presented to the ED with a radius/ulnar fracture and we billed 25565. 5 days later the patient came into the clinic for a followup visit and it was discovered that the reduction was lost, and a decision was made to re-reduce the fracture the next day. The physician wants to bill 99202 for the visit. Is this appropriate??

 

[RebeccaWoodward*]

No. The patient is already established (since face-to-face services took place in the ER) not to mention the patient is in a global period now. The reduction is billable.

 

[debwoods65]

Agree - bill the reduction only.