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Thread: Need help with fracture L4 vertebral body

  1. #1
    Join Date
    Apr 2007

    Default Need help with fracture L4 vertebral body

    AAPC: Back to School
    Provider notes state closed treatment closed trmt of fx L4 was done and a prescription for a LSO brace & Cashe brace was given to the patient. Can I use 22310 when the provider did not apply brace?

  2. #2


    No, we actually asked this same question at an AANS meeting because our dr wanted to bill for this. The dr. can not bill for closed treatment of a fracture code 22310 for simply writing a script or handing a person the brace. He would have to personally fit the patient for the brace, which I doubt he would probably do, and he would have to dictate a procedure note stating what he did to fit the brace and a plan for managing the patient's fracture care. This procedure also has a global of 90 days and in the long run, since you wouldnt be able to bill for any e&m's, the dr will probably make more money by billing for all the applicable e&m's within the 90 day period.

  3. #3
    Join Date
    Apr 2007


    This information was extremely helpful!! I really appreciate the input.

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