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fracture billing for children hospital

  1. #1
    Default fracture billing for children hospital
    Medical Coding Books
    1.when a patient come in for fracture treatment, do you bill e/m-25,fracture code,supplies,x-ray?

    2. how do you bill when they come back for a replacement cast,strappling,splint?
    3. how do you bill for clubfoot?

  2. #2
    Milwaukee WI
    Default Hospital or Physician coding?
    Please specify if you are coding for the hospital or for the physician.

    If billing for the physician - in general for fracture care initial visit you'd use -57 modifier (decision for surgery) as fracture care codes - even closed treatment - are considered "major surgery" (90-day global). Follow-up visits would be 99024 NC F/U.

    F Tessa Bartels, CPC, CEMC

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