I'll tell you how we handle it at our office. If this fracture was diagnosed and splinted at the ED, the ED department charges for the splinting and possibly for an E&M service. The patient is referred on to our orthopedic service, ususally within a day or two. At this time, our service is taking over the care of this fracture. Our service will either charge non-op fracture care w/ or w/o manipulation (according to which bone is fractured) or if the patient needs to go to the OR, we'll charge the appropriate E&M service with modifier 57 (if the surgery is pending that same day or one day later). Occasionally, we itemize bill for each visit separately. Usually we do this if the fracture is very minimal and our provider doesn't really change the way the fracture was originally treated at the ED (such as "continue with splint and observe" will follow up).
Opinions differ greatly on the use of non-op fracture care and itemized billing. Understand that either way is correct. In some cases, fracture care is more beneficial and other times, itemized billing is beneficial.
Also, we are a hospital based practice. (I don't know if that matters at all.)
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