Results 1 to 4 of 4

Thread: Fracture vs Splinting inthe ED

  1. #1

    Question Fracture vs Splinting inthe ED

    Promo: Code Books
    I have a question regarding fracture care in the ED vs splinting. If the ED MD performs a closed fracture treatment service lets say 26600 and then splints the finger can he charge for The ED visit and the fracture service and not the splinting charge? Or just the ED visit and the splinting charge only without the fracture charge. Would the same charges be billable on the facility side as well? Thanks

  2. #2
    Join Date
    Apr 2007
    Posts
    69

    Default

    I don't think the ED physician should be charging fracture care for non-manipulative treatment, as he will not be seeing the patient again. If he reduces the fracture, he'd need to bill for the manipulative txmt code & he ought to use modifier 54 (I'll bet none of the ER docs use that mod, though.) What does everyone else think?

  3. #3
    Join Date
    Apr 2007
    Location
    Lewiston, Maine
    Posts
    33

    Default

    Actually I believe that they can bill for the non-manipulative treatment with a 54 modifier since no follow up care will be provided by the ED physician. Then the splint would not be reported as it is included in the fracture care.
    Catherine Nolin, CPC
    cnolin78@yahoo.com

  4. #4

    Smile Blanca Cpc

    Quote Originally Posted by Marge Forst View Post
    I don't think the ED physician should be charging fracture care for non-manipulative treatment, as he will not be seeing the patient again. If he reduces the fracture, he'd need to bill for the manipulative txmt code & he ought to use modifier 54 (I'll bet none of the ER docs use that mod, though.) What does everyone else think?
    If the ED physican bills a splint application. Can the family physician bill for a fracture care? We are a RHC-provider based.

Similar Threads

  1. Physcian Billing of Non-fracture strapping/splinting
    By jenp0913 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-25-2014, 12:56 PM
  2. Fracture treatment vs. splinting
    By jccoder in forum Emergency Department
    Replies: 7
    Last Post: 05-29-2014, 12:38 PM
  3. documentation requirements for splinting and fracture care
    By jaciwismar in forum Emergency Department
    Replies: 1
    Last Post: 05-02-2014, 07:57 PM
  4. CPT? re: sprain vs fracture finger splinting
    By TLC in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-02-2012, 10:14 AM
  5. Does Splinting fall under fracture care?
    By Captain74 in forum Orthopaedics
    Replies: 2
    Last Post: 08-20-2010, 06:46 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?

Login

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.