From what I can make of the situation, I would say that physician A can bill for the closed treatment of the distal fibular fracure on the right side while physician B can bill for the open reduction internal fixation of the trimalleolar fracutre on the left side.
Since physician A diagnosed the trimalleolar fracture on the left side and the outcome was that the patient needed surgical intervention, he is correct in not billing any kind of fracture care for this.
I am at work right now and so it is difficult for me to put my hands on documentation to support this but if I can locate some today, I will get back to you.
IF the patient had only one fracture and doc A saw the patient for it and diagnosed it but doc B took the patient to the OR the next day, then I would say only the surgery should be billed for doc B and the E&M for doc A - yikes, I think this thought got out of hand but I think it drives home the point (let me know if it does not).
Hope this helps.
Have a great day,
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