If you do closed reduction in the ER and then say a week or so later determine that open
reduction is needed, you can charge for both. In other words, in the ER, the Dr made the determination that the fracture could heal nicely without surgery, but later on he
has found that it is not staying in alignment or healing properly, then you can charge the
open procedure with a 58 modifier.
Yes you can charge the 11010-11012 with trauma fractures that need debridement.
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