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Same Day Surgery

  1. #1
    Parkersburg, West Virginia
    Question Same Day Surgery
    Medical Coding Books
    A patient came to our office as a consult from another physician. The doc saw the patient and diagnosed a fracture of the distal right radius (Colles' fracture). He decided to take the patient to the PACU and do a closed reduction.

    Can the office visit/consult be billed along with the procedure, or can only one be billed (the procedure)? I could use help on any modifiers for this also.

    ICD-9: 813.41
    CPT: 25605

    Consult: 99244

    Christopher Knapp, BS, CPC

  2. #2
    North Carolina
    If your consult meets the requirements of a consultation (with the exception of Medicare) and the documentation supports 99244, you can bill for the consultation in addition to 25605. You would report modifier 57 with the E/M.
    Last edited by RebeccaWoodward*; 06-21-2010 at 02:03 PM. Reason: spelling

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