AAPC - Back to school
Results 1 to 3 of 3

Thread: Fracture care f/u from ER

  1. #1

    Default Fracture care f/u from ER

    AAPC: Back to School
    help! Thank you
    Last edited by kcaskey03; 11-01-2011 at 10:12 AM.

  2. #2
    Join Date
    Apr 2007
    Tacoma, WA


    Quote Originally Posted by kcaskey03 View Post
    I have a patient that was seen in the ER and treated for a metacarpal fx and was provided a sling-patient told to follow up with our physician in the clinic . Our doctor is only doing the follow up. We billed an E&M but insurance is denying it stating its included in the allowance for another service (the fracture care). Can I have some guidance on what Im missing? Also the same patient then came back for another follow up of the fracture along with another symptom not relating to the fracture. Please help! Thank you
    What code did the ER use for the fracture care? And what insurance carrier are you dealing with? For the problem not related to the fracture you would use a modifier 24 to separate that service from the global period.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

  3. #3


    Thank you for the reply... my mistake ! I found the CPT code ! Thank you.

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.