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Thread: Failed closed reduction

  1. #1
    Join Date
    Apr 2007

    Default Failed closed reduction

    AAPC: Back to School
    If a closed reduction(27818) in the office fails and the physicians takes the patient to the OR and trys again later that day-27818 and 20692. Can both attempts be billed? According to Medicare guidelines it cannot be billed twice at the same patient encounter. Does same date equal same encounter?


    Judith L. Doss, CPC
    Oad Orthopaedics

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    We do not bill both if done on the same day but I will be curious to see what others say.

    Debie Woods, CPC
    Orthopedic Specialists, Inc.

  3. #3
    Join Date
    Apr 2007
    Kansas City


    Same date wouldn't necessarily mean same encounter because the place of service would be different, i.e. office then OR. We don't usually bill both, but I wouldn't say that we haven't.

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