Wiki Treatment of FX cpt 25500

[oskolkoff]

I have some questions on what CPT 25500 covers.

1st Visit: Pt came to clinic with hand pain. DX fracture radius, distal (813.42).
Xray of hand (73130) and xray of wrist (73110) done.
Sugar tong splint and sling applied.
Treatment of fracture radius(25500)
Pt to return in 1 week for recheck xray and long arm cast
Are xray covered in cpt 25500?

2nd visit: Pt came into clinic. Swelling on upper extremity reduced.
DX fracture radius, distal (813.42).
Xray of wrist (73110) done.
Long arm cast applied.
Are xray codes and casting covered in the global of cpt 25500?
What code is used to show that the pt was in the office during the global period for these services?

Thanks for the help,
Jennifer

 

[caromissunc1]

Hi Jennifer!
X-rays are not included in the global package. Also, only the primary visit should have a diagnosis code of 813.42. Follow up visits are coded as V54.12 because the fracture was treated using closed treatment at the initial visit. Check with your insurance carrier regarding cast supplies and application during follow up visits. This service varies by carrier.
Hope this helps!