AAPC - Back to school
Results 1 to 4 of 4

Thread: 2nd request Fracture Care Help

  1. #1
    Join Date
    Apr 2007

    Default 2nd request Fracture Care Help

    AAPC: Back to School
    Can anyone help me on this? I need some guidance. My doc saw a pt for a tibial plateau fx, billed a fx care code. Pt came in for global office visit, we did another xray and he found that he also has a femoral condylar fracture also that was missed the first time. He wants to charge another fx care code for the new discovered fx. Can I do this since it is related to the 1st fracture?

  2. #2
    Join Date
    Apr 2007


    I would say yes. It is a different fracture on a different bone. I would use "79" mod, the definition of 79 says it was unrelated to the original procedure. I am assuming the code you charged for the tib plateau fx said nothing about the femur???

    It depends on what codes you are charging- to make sure they are not included with each other.

  3. #3
    Join Date
    Apr 2007


    I know I'm stretching here but just trying to fully understand and do this right, the fx is related to the first fracture it just did not show up on the xray, but showed up later on the mri, so it happened at the same time of the intial injury, any thoughts?

  4. #4
    Join Date
    Apr 2007


    I was going off of the definition of the "79" modifer in the cpt book.

    It doesn't unrelated to the "injury" it says unrelated to the "procdure" done.

    I hope that helps

Similar Threads

  1. 2nd request????
    By Jamie Dezenzo in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 12-09-2011, 12:58 PM
  2. 2nd request Fracture please help
    By mlsstnt@aol.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-16-2011, 12:57 PM
  3. Replies: 2
    Last Post: 11-01-2010, 01:51 PM
  4. 2nd request need help????
    By ivonneatanacio in forum Orthopaedics
    Replies: 1
    Last Post: 05-28-2010, 10:56 AM
  5. FX care - 2nd request please
    By orthopaedic01 in forum Orthopaedics
    Replies: 3
    Last Post: 06-09-2009, 01:30 PM

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.