AAPC - Back to school
Results 1 to 3 of 3

Thread: Closed Treatment + ORIF

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default Closed Treatment + ORIF

    AAPC: Back to School
    I just received a couple of surgeries where the Dr performed a closed treatment of a fracture in the ER and in the same day admitted the pt and performed an ORIF. He using a 58 modifier on the ORIF - which I understand. My question is I think the insurance company will deny the claim based on the premise of why 2 in day? Has anyone had their Dr perform a multiple same day surgery like this scenario and how did the insurance company react?

  2. #2
    Join Date
    Apr 2007
    Charm City - Baltimore


    I have this situation frequently. When my docs are called in the ER the scenario is usually they do a closed reduction then admit with a decision for surgery (ORIF). I have been getting paid for both procedures. Good luck!
    Crystal, CPC, CCS-P

  3. #3
    Join Date
    Apr 2007
    Long Island/New York


    Thanks Cyrstal!!

Similar Threads

  1. Replies: 1
    Last Post: 04-27-2015, 10:06 AM
  2. Closed fracture care with ORIF on same day
    By Emmalia in forum Modifiers
    Replies: 2
    Last Post: 09-18-2012, 03:12 PM
  3. ORIF following Closed Reduction HELP!
    By lsimkins in forum Orthopaedics
    Replies: 1
    Last Post: 12-07-2010, 03:08 PM
  4. Closed fx rt and ORIF on lt by two surgeons.
    By vjefcoats in forum Orthopaedics
    Replies: 4
    Last Post: 01-13-2010, 01:54 PM
  5. Closed treatment of acetabulum vs. ORIF
    By risnerclan in forum Orthopaedics
    Replies: 1
    Last Post: 09-23-2009, 09:38 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?


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.