AAPC - Back to school
Results 1 to 3 of 3

Thread: Help with fracture care

  1. #1

    Default Help with fracture care

    AAPC: Back to School
    I have a patient who came in and has a metatarsal fracture. This is the read of the x-ray.

    Transverse nondisplaced fracture through the base of 2nd, 3rd and 4th
    metacarpals are identified. The alignment at the tarsals appears to
    be maintained. Bony mineralization is appropriate.
    The dr. placed her in a fiberglass splint with a consult to ortho.

    I want to code
    28450 - 54 -T1
    28450 -54 - T2
    28450 - 54-T3

    Is this correct. The code says each fracture, but because it is a transverse fracture should I only code once? I do not code fx care often. Please advise.


  2. #2
    Join Date
    Apr 2007
    South Bend


    Hi there,

    Fracture care can be a toughy!

    Hey I'm assuming you meant to write metatarsal instead of metacarpal. The closed treatment of metarsals is 28470.

    I see you are modifying with 54 which means surgical care only.

    How is your doctor treating this fracture? It sounds to me that he/she is referring the patient to an ortho doctor for treatment. In that case your doctor should bill the appropriate E/M code (office, ER, etc.) related to diagnosing the fracture.

    I also see you are using the "T" modifiers. T modifiers are used for the toes (phalanges)only not the metatarsals.

    I hope this is helpful.

    Have a great day!


  3. #3
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    I agree with sgoodknight in that, you should let the orthopedist bill for the fracture treatment. Typically, in this scenario, the referring physician should bill for the appropriate E/M, the splint application, and the fiberglass splint supplies.

    Bill Hale, CPC

Similar Threads

  1. Replies: 3
    Last Post: 05-19-2015, 07:12 PM
  2. Replies: 3
    Last Post: 10-13-2014, 06:32 AM
  3. Closed Fracture Care and Open Fracture Care
    By kathy a in forum Orthopaedics
    Replies: 6
    Last Post: 07-09-2012, 10:07 AM
  4. Fracture Care - ER, Urgent Care vs Physician Office
    By Beverly Reinoehl in forum Orthopaedics
    Replies: 0
    Last Post: 04-25-2012, 09:41 AM
  5. OV with Fracture Care & What Constitutes Fracture Care
    By rryder1963 in forum Orthopaedics
    Replies: 1
    Last Post: 03-26-2012, 08:19 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.