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close reduction, application of ex fix

  1. #1
    Default close reduction, application of ex fix
    Clearnace Sale
    I was taught reduction meant manipulation. My doc reduced distal radius fx and put on a ex fix. We coded it as 25605 and 20690. It was denied. This is how the op note read.

    He talks about placing the ex fix pins. "We then evaluated out lelngths of our pins, and were satisfied w/those. Is is of note at this time that patient went to another episode of atrial fibrillation, and had issues maintaing her pressure. This id cause us to expedite our procedure. We obtained a quick preliminary reduction. With AP & lateral fluoroscopy, we were satisfied we were out to length & appropriate neutral tilt. We then tightened down our ex-fix. Now tell me if I'm wrong but can we not bill for the closed reduction along with the application of the ex fix. By the way it was a Medicare patient.

    Thanks for any suggestions you may have.
    Last edited by klestes; 02-25-2010 at 03:18 PM.

  2. #2
    I agree with you. You should be able to bill both together. I would appeal it. By the way, did you put a 51 on 20690? 20690 is no longer 51 exempt.

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