Surgery during the global period of a fracture

jpicco1

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Patient was treated for a closed reduction Distal Radius fracture. Our office billed out a 25605 and patient was seen a few times for follow up care in the office. Now due to increased dorsal angulation, ORIF is indicated. Can I bill a E&M code for this visit during the fracture global period due to the impending need for surgery now? This scenario has always confused me, as with a fracture, there is always the chance surgery may be warranted during the global period.

Thank you,
Jennifer Picco
 
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