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Thread: fracture with manipulation

  1. #1

    Default fracture with manipulation

    AAPC: Back to School
    We are haveing a debate in the department in regards to fractures
    Closed treament of a fracture has 2 types, manipulation and non-manipulation. I understand that when it is a non manipulation a provider can decide global or itemized. Does that rule apply when there is a manipulation performed? I have always been under the impression that a fracture with manipulation is always reported as a global procedure

    thanks for any input on this topic
    Last edited by Katie Peterson; 10-05-2011 at 09:31 AM.

  2. #2
    Join Date
    Apr 2007
    Piedmont Area Coders, VA


    That has also been my stance on fracture coding. Our Audit and Compliance Dept has backed up this guideline, as well. By manipulating the fracture, you are performing a procedure, and lose the choice to itemize bill.

  3. #3


    That is what my understanding has always been. Is there a resource some where that discusses manipulations. I have been told not to code it because the doctor does not want to bill a global service

  4. #4


    what does he bill? i would think he would want to get paid for the work he put into it by charging for reducing the fracture. i think he would come out better in the end.

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