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Global Fracture/help!

  1. Cool Global Fracture/help!
    Medical Coding Books
    We have a patient who is in a global for a tib/fib fracture--she has fallen again and fractured the same leg in a different location. Can we now bill an E/M visit even though the patient is already in a global for the previous fracture of the same leg? If so-what modifier would we use-24?

  2. #2
    yes the -24 modifier is correct.

  3. #3
    Milwaukee WI
    Default What about additional fracture care?
    Definitely -24 modifier
    Are you also making a decision to treat a new fracture and providing a new fracture treatment?
    Then you might also want -57 decision for surgery, in addition to your fracture treatment CPT.

    Be prepared for a denial and for having to appeal. Be sure your MD documents thoroughly.

    Let us know what happens.
    F Tessa Bartels, CPC

  4. #4
    nice catch on the -57 F Tessa Bartels!!

    I wasnt thinking that far in advance..its been a long week

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