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Fracture Care & DME Equipment

  1. #1
    Location
    Swainsboro/Statesboro
    Posts
    673
    Default Fracture Care & DME Equipment
    Exam Training Packages
    I have a question:

    A patient came in the ER with a fracture. The physician is treating with fracture care and applying a splint.

    Now if the ER has DME Equipment, which on the splint it includes the application with the supply....

    Is it double charging if I give my doctor the fracture care?

    Thanks, Sue
    Susan Edwards, CPC, CEDC, AAPC Fellow
    Swainsboro/Statesboro Georgia President

    smecoder@gmail.com

  2. #2
    Location
    Swainsboro/Statesboro
    Posts
    673
    Default
    I feel I should state.... we just started with an DME equipment supplier for our ER....
    Susan Edwards, CPC, CEDC, AAPC Fellow
    Swainsboro/Statesboro Georgia President

    smecoder@gmail.com

  3. #3
    Question
    The way we do it here (in a small rural hospital) is: we charge the appropriate E&M level and that is it. I use 3M and the walk thru asks if it is the intial provider or one who provides the aftercare as well. For the DME, all out of the box splints & casts we don't charge the splinting application on.

    Does that even make sense??

  4. #4
    Default Splint and Supply
    Facility Charge would be for the splint and the orthoglass (in our case) used.
    We would also charge an E/M level.

    I believe the MD charge would be for the CTX with -54 and E/M level, if appropriate, with a referral to an Ortho MD.

  5. Default
    As An orthopedic tech now taking and having to code in a clinical setting, if the fracture care is coded the only charge for DME is the cost of the brace, now if the patient was put in a post mold or temporary type splint, you can charge for the splint and fracture care. Also keep in mind there would be a charge for reduction if this was done in the ER. hope this helps.
    Bonecoder!

  6. #6
    Location
    Swainsboro/Statesboro
    Posts
    673
    Default Thank you for your remarks!
    Thanks everyone... the remarks are great and seeing how other facilities work with the DME is interesting....
    Susan Edwards, CPC, CEDC, AAPC Fellow
    Swainsboro/Statesboro Georgia President

    smecoder@gmail.com

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