What we do might not necessarily work for everyone. We are a hospital based orthopedic provider. Typically, when a patient is seen in the ED, the ED provider will charge their E&M service along with application of splint. They set up an appt with one of our docs, who charges the fracture care. It would seem logical to me that if the ED provider would want to charge the fracture care, they could do so and add modifier 54 (surgical care only). The provider who is assuming the follow up care could charge the fracture care and add modifier 55 (post-operative management only). I wonder what other providers are doing in this instance?
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