Our group has an oral/maxillofacial surgeon who wants to do this. He sees the patient once and tells the patient to contact the office if there's a problem. Consider this.....most fracture care has a 90 day global period. The charge for fracture care is usually quite substantial (equal to a lot of surgical procedures). Is the work your surgeon providing equivilent to a surgical procedure? What are the chances the patient will have any follow up care at all? Your provider is pretty much taking the "wait and watch" approach. I suppose you could qualify this as non-operative fracture care. Personally, I feel a little funny charging fracture care when there's really not going to be a lot of follow up. If the provider reduced a fracture and planned routine follow up, I would have a different opinion. I guess if it were me, I'd charge the appropriate E&M service. If the patient did come back, the visit wouldn't be global so you could charge another E&M. I expect there are probably a lot of opinions out there in regards to this situation. Maybe someone will give me a reason to sway my opinion in the other direction?
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