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Fracture Care Question

  1. #1
    Modesto California
    Default Fracture Care Question
    Medical Coding Books
    I would like to know how you would in a fracture care global period of 90 days for additional cast or splint.
    The patient had the original splint at time of manipulation. However, he was scheduled a week later to remove the original splint and put a cast on. Do I use a modifier on the second procedure?

  2. #2
    North Carolina
    Modifier 58.

    The recasting and the supplies are not bundled into the original fracture care charge. In fact, some carriers (Medicare and otherwise) require the modifier -58 on re-casts.
    Rebecca CPC, CPMA, CEMC

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  3. Default
    I would charge the application with modifier 58.


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