Without knowing more details it is really hard to give a solid answer. It is not typical to code fracture care codes without reductionsint he ED. Typically the E/M captures the definitive care components and then if the ED physician applies a cast the cast application would be billed.
Usually, most ED bill the reduction CPT codes, because they are not going to be following up post-operatively with the patient. The non-reduction fracture care codes are predominantly post-op follow up as there really was not any surgical care done.
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