Results 1 to 5 of 5

fracture reduction in ER

  1. #1
    Default hai
    Medical Coding Books
    If the ER dr reduces the fracture then how come the ortho DR again reduce the fracture in OR , if the document is like that means , may be the ER Dr places the splint or he may try to reduce the # , however the ortho Dr states he reduce the # means we have to code # care for ortho only. for ER we have to code splint , this is my veiw.

  2. #2
    Milwaukee WI
    Default Fracture care
    Fracture care carries a 90-day global period.

    Since your ER physician is NOT going to be doing any follow-up on this case, I would recommend that you code the ER visit and the splinting.

    If the documentation is very clear about reduction/manipulation, then you could code the fracture care with a -54 modifier since you won't be providing any follow-up.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Duluth, Minnesota
    very nicely stated Tessa! great clarification of services AND reminder of the necessary use of modifier 54 !
    Donna, CPC, CPC-H

  4. #4
    our policy is if patient is immediately going to ortho we would never charge fracture managment in the ed. now, if they are going in a few days to follow up esp if our doc did reduce the fracture, we would then charge fracture care. in this case you are always safe to charge a splinting.
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  5. Default Fracture question........
    Quote Originally Posted by mdunn View Post
    I am coding for the hospital, so using modifier 54 does not really apply. I understand coding for the ER and then seperately coding for they physicians office, but what about when coding for the facility?

    In addition to what Tessa has stated, if the ORTHO doc is taking the pt to your OR you will code the procedure that is being performed. If it is the same procedure code look to see if there is an appropriate modifier you must apply.

    hope this helps.

Similar Threads

  1. Closed reduction of fracture
    By amartinez1 in forum Orthopaedics
    Replies: 5
    Last Post: 12-29-2015, 07:26 PM
  2. ER fracture reduction and surgery
    By VidaF in forum Orthopaedics
    Replies: 0
    Last Post: 08-22-2014, 11:56 AM
  3. Fracture reduction
    By saravanaraj16 in forum Orthopaedics
    Replies: 1
    Last Post: 08-14-2013, 02:29 PM
    By hlmcintyre in forum Orthopaedics
    Replies: 2
    Last Post: 07-15-2011, 02:49 PM
  5. Reduction of Nasal Fracture
    By auntsashie in forum Orthopaedics
    Replies: 1
    Last Post: 02-25-2009, 11:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.