AAPC - Back to school
Results 1 to 3 of 3

Thread: schapolunate ligament sprain w/distal radius fx

  1. #1

    Talking schapolunate ligament sprain w/distal radius fx

    AAPC: Back to School
    Hello all~ I need help with a discrepency in our coding dept. We have a patient who was treated for a distal radius fracture and put into fracture care treatment w/90 day global. We applied a cast. At the time of the treatment they sent her for a CT scan to determine the injury to the scaphoid-lunate area. She returns to the office to go over CT scan results and then sees another doctor in our practice (same tax id, both orthopedic surgeons) and he is more focused on the scapholunate ligament sprain that occurred at the time of the fracture. He is going to have her go thru the closed treatment and after that time is going to re-evaluate to see if she is going to need surgey to repair it. The question is are we justified in billing out an established patient visit w/modifier 24 for the scapholunate sprain visit? We both have very strong feelings regarding this and can't come to an agreement. Thanks for any help!

  2. #2
    Join Date
    Apr 2007


    The fact that the other doc is going to require a seperate follow-up for the sprain gives me reason to believe this is a different issue. Just make sure you have enough elements to support whatever OV level you're going to bill for the sprain.
    Jason Steeprow, CPC

  3. #3
    Join Date
    Apr 2007


    I would say modifier 24 is definitely justified. Clearly there are two separate sites and two separate issues. Just make sure that everything documented properly and you should be fine.


Similar Threads

  1. TaloFibular Ligament sprain
    By sandycross7 in forum Orthopaedics
    Replies: 1
    Last Post: 06-18-2015, 06:39 AM
  2. Orif distal radius
    By nickelclaw in forum Orthopaedics
    Replies: 3
    Last Post: 01-29-2015, 07:46 AM
  3. Replies: 0
    Last Post: 04-25-2012, 02:00 PM
  4. Distal Radius & Distal Ulnar Fracture
    By gsteeves in forum Orthopaedics
    Replies: 5
    Last Post: 04-02-2010, 08:39 AM
  5. Distal Radius Fx
    By sblanchard in forum Orthopaedics
    Replies: 12
    Last Post: 10-22-2008, 07:30 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.