We are fairly new to orthopaedics coding and billing. One of our providers has indicated he can bill a consult and fracture care and has indicated this meets Zubco documenttion requirements. Can anyone help me with Zubco? I have not heard of this before, is it specific to orthopaedics?
Zubco is a company that does seminars and I think is all ortho. Most ortho docs I have worked subsrcibe to her teachings.
I wonder if he's referring to karenzupko.com? All ortho and pretty interesting. I've been to one of their seminars here in Seattle and it was very good.
your docs are correct, a consult can be billed with fracture care with appropriate documentation of both (57 modifier on consult, assuming its a 90 day global case).
This billing is also supported by the AAOS. If you search the ortho forum here, you will find many postings as well as documentation, links etc to this information.
hope this helps,
Mary, CPC, COCS
Can be ... doesn't mean WILL be
Yes, a consult can be billed along with fracture care.
BUT ... This does not mean that every encounter with a patient presenting with a fracture will automatically be a consult. It might be a new (or established) patient.
Of course, any E/M service that is coded along with fracture care needs to have supporting documentation. And don't forget your -57 modifier.
F Tessa Bartels, CPC, CEMC