Results 1 to 2 of 2

coding a PX W/O doucumentation (25600)

  1. Default coding a PX W/O doucumentation (25600)
    Medical Coding Books
    Does anyone have a supporting documentaion link that states the physcian needs to document all surgeries, even if it is a closed reduction ( Treatment) of distal radial FX? I have a doctor that wants me to bill this without documenting it. He did a brief inpatient consult (99251) and stated he applied the patient in a cast and to F/U with him in four weeks. When the patient did come back in 4 wks he charged a new PT visit, when in essence it should have been a P/O visit if he did a closed reduction. To me, the consult should be coded and the cast only. Where is the information for me to code the closed reduction (25600)? His response was I should be able to determine what he did by looking at the DX from the xray report.
    I don't know about you, but the way I was trained, if it is not documented, it never happened.

  2. #2
    Hartford, CT
    25600 is closed treatment of a distal radius fracture, not a closed reduction (25605). If the M.D. stated that he applied a cast, this is closed treatment and can be billed. However, it has a 90 day global period and he would not be able to bill a new patient visit when the pt came to the office for follow-up.

Similar Threads

  1. 25622 and or 25600
    By ahinman in forum Emergency Department
    Replies: 5
    Last Post: 10-24-2013, 11:30 AM
  2. 25622 and/or 25600
    By ahinman in forum Orthopaedics
    Replies: 1
    Last Post: 08-31-2010, 12:39 PM
  3. coding a PX W/O documentation, ie 25600
    By Trendale in forum Orthopaedics
    Replies: 6
    Last Post: 04-09-2009, 03:27 PM

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.