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Coding Closed Treatment Of A Fracture

  1. #1
    Knoxville, TN
    Default Coding Closed Treatment Of A Fracture
    Medical Coding Books
    Hi all,
    Well I thought I had my stuff together on coding closed tx of fractures, but you know how it question asked and then you're questioning yourself. Here goes...

    I have a physician who consulted with a patient in the hospital. He determined that the patient had a distal supracondylar fracture. He treated this non-operatively with a padded knee immobilizer. Can he bill the 27501 (closed treatment without manipulation)? The reason I question myself is because all he did was order a knee orthosis that will be fit and supplied for by the hospital.

    If this same situation happended in our office where we do supply the DME could I bill the 27501?

    I guess to sum it up can we bill for a closed TX of a fracture code when the doctor only ordered DME?

    As always thanks for your help?
    Christy Brown, CPC
    Humana, Clinical Guidance Coder
    Knoxville, TN

  2. Default
    Unless the provider intended to see the patient in follow-up, I would be hard pressed to charge fracture care. I would charge the consultation only--provided the documentation supported it.


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