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OV with Fracture Care & What Constitutes Fracture Care

rryder1963

Guest
Messages
65
Location
First Hill, Seattle WA
Best answers
0
Can a provider who sees a patient on referral from another provider bill out an office visit along with Fracture Care code? Fracture was diagnosed by referring provider (who billed out an office visit) and pt was provided with AirCast boot by referrign provider.

Also, can a provider bill out a fracture care code for said previously diagnosed fracture if MA refitts boot?

Any thoughts? What I really want is some documentation, i.e. from AMA or CMS, that indicates the proper course of action but am having a hard time locating anything.

Thanks~~
 

mitchellde

True Blue
Messages
13,300
Location
Columbia, MO
Best answers
0
You cannot bill out an office encounter with fracture care if the patient is coming to you for the purpose of fracture care and no additional evaluation took place. It will depend on the note as to whether fx care can be coded.
 
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