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Fracture care f/u from ER

  1. #1
    Default Fracture care f/u from ER
    Medical Coding Books
    help! Thank you
    Last edited by kcaskey03; 11-01-2011 at 10:12 AM.

  2. #2
    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, CPMA, CEMC, COBGC

  3. #3
    Thank you for the reply... my mistake ! I found the CPT code ! Thank you.

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