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Fracture Care - Orthopedic grp

  1. #1
    Default Fracture Care - Orthopedic grp
    Medical Coding Books
    We have a very large Orthopedic grp at our clinic but each provider has their own sub-specialty. My question is we had a patient that was referred to us by an ED physician with a left wrist fracture. The first orthopedic provider who saw the patient did an x-ray and put on a volar splint. He charged a 99204-57 and 25600-RT with dx 813.41. He then referred the patient to another ortho provider in the same grp that specializes in wrist and hand 7 days later. This physician saw the patient did an x-ray and recommended open reduction and internal fixation. He left him the removal splint. My question is can this provider also bill for the fracture care code 25600-RT?

  2. #2
    Even though all has a sub speciality are all drs' working under same tax id#? Are the sub speciality setup with the payers?

    If all drs are working under same tax id# this visit would be billed as fx fu care under global rules. And when orif is done a modifier will be needed with code.

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