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Fracture Care - family practice

  1. #1
    Location
    COASTAL CODERS-CONWAY,SC
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    68
    Red face Fracture Care - family practice
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    Need some better understanding-I work in a family practice office-my Dr is
    a DO. We have pt that come in with broken finger, toes,hair line fractures
    that do not require casting. My question is actuallly what code do i bill
    for when he states fracture care w/xray
    KATHY H. HARDWICK-CPC
    AYNOR, SC

  2. Default
    Quote Originally Posted by KHH View Post
    Need some better understanding-I work in a family practice office-my Dr is
    a DO. We have pt that come in with broken finger, toes,hair line fractures
    that do not require casting. My question is actuallly what code do i bill
    for when he states fracture care w/xray
    Reply-
    Fracture care with x-ray, covers x-rays.

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    x-rays are not included in fracture care and are seperately codable.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Fracture care
    If fracture care is documented I'd use the appropriate closed fracture treatment code for the bone(s) involved. Xrays are separately reportable.

    Note that most of the closed fracture codes will have a 90-day global period for follow-up visits.

    Replacement casts/splints used during the global period would also be separately reportable. (Only the first cast/splint is included in the fracture care code.)

    You'll have to read the fracture care codes carefully because there are many qualifiers - in addition to open vs closed, there's with or without manipulation, without or without fixation, etc.

    Good luck!
    F Tessa Bartels, CPC

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