Results 1 to 2 of 2

dislocations handled like fractures?

  1. #1
    Question dislocations handled like fractures?
    Medical Coding Books
    When a patient has a fracture, we will treat it and refer to an orthopedist. We will only bill the office visit since we are not following the fracture. My question is when a patient has a dislocation reduced without a fracture and was referred out to the ortho for follow up, do we bill the same way as the fracture or do we bill the dislocation reduction code. I'm confused as both the fracture and dislocation codes have a 90-day global period (per my CPT book).

    Any help would be greatly appreciated.

  2. #2
    Milwaukee WI
    Default -54 modifier
    If you are performing the procedure (treatment of dislocation) but will be transfering "post-op" care to the ortho specialist, you should use a -54 modifier on YOUR procedure code. The orthopeaedist would use the same procedure code with a -55 modifier to signify the postoperative care.

    Don't let the work "operative" scare you. Any CPT code from 10000 through 69999 is considered a procedure / operation.

    Hope that helps.

    F Tessa Bartels CPC, CEMC

Similar Threads

  1. Replies: 0
    Last Post: 06-30-2015, 09:06 AM
  2. Billing For 2 CMC dislocations/Fractures
    By kathy a in forum Orthopaedics
    Replies: 2
    Last Post: 07-05-2013, 09:28 AM
  3. 8 dislocations over 1 year
    By hoseysa in forum Orthopaedics
    Replies: 1
    Last Post: 10-07-2011, 02:20 PM
  4. Metatarsophalanngeal joint dislocations
    By woulf123 in forum Orthopaedics
    Replies: 0
    Last Post: 04-25-2011, 07:04 AM
  5. wrist fractures (radius and ulna fractures)
    By Jamie Dezenzo in forum Orthopaedics
    Replies: 2
    Last Post: 06-23-2009, 11:10 AM

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.