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Fracture care codes?

  1. Default Fracture care codes?
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    I have a question about a fx care code. Our ortho doc wants to code 24650 without an E/M level code for a new patient. Is this acceptable?

  2. Default
    Because this is a new patient I would definitely code for the E/M with 57 modifier with fx care code.
    Not sure why doc wouldn't want to charge for that.

  3. #3
    Columbia, MO
    Actually it is appropriate even for a new patient to charge only the procedure code. If your physician already knew the patient had a fracture as it had been evaluated by another doc say the ER, then there is no significant evaluation to be done, the patient has already been evaluated for the injury and appropriate treatment has already been determined. Just because they are a new patient you should not always assume a separate E&M is appropriate.

    Debra A. Mitchell, MSPH, CPC-H

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