ED Coding and Reimbursement Alert
Tread Carefully When Dealing with Tarsal Fractures
Question: My physician saw a patient for a non-displaced tarsal bone fracture, which did not require manipulation. Rather than applying a cast, the physician placed a prefabricated short leg removable cast. I spoke with my physician and the patient will not require much in the way of additional treatment. She was instructed to follow up with the orthopedist in 2 weeks. Can this be reported as fracture care? Wisconsin subscriber Answer: Yes, this would be reported using code, 28450 (Treatment of tarsal bone fracture [except talus and calcaneus]; without manipulation, each). In this case, the physician has determined that there is a fracture, decided on the appropriate course of treatment, so he is meeting the requirements for reporting the fracture care code. However, unless they are providing the associated follow-up fracture care included in the global surgical package, be sure to append the 54 modifier to indicate you are reporting the procedure only.
ED Coding and Reimbursement Alert
- CCI 18.0 Update:
Watch for These Two Codes, Bundled into Dozens of Procedures
You need to know these edits if you report 20527 or 29582 New codes aren't [...] - Coding Strategies:
Wake Up To These Deep Sedation Insider Tips
You could be coding more deep sedation services this year in the ED, thanks to [...] - Coding Tips:
Splinting or Strapping? These Tips Help You Decide
Hint: Look to materials to narrow down your selection.When a patient reports to the ED [...] - You Be the Coder:
Consider this example
Question:A 67-year-old female presents to the ED after falling off a three-step ladder. After a [...] - Reader Question:
Distinguish Open From Closed Fracture Treatment
Question:What is the difference between an open and closed fracture treatment? California SubscriberAnswer:You'll need to [...] - Reader Question:
Can You Report an ED E/M And Critical Care on the Same Day?
Question:Is there official documentation where both critical care and an ED level can be billed [...] - Reader Question:
Tread Carefully When Dealing with Tarsal Fractures
Question:My physician saw a patient for a non-displaced tarsal bone fracture, which did not require [...] - Reader Question:
The CMS Shared Services Documentation Exemption Only Applies to E/M Services
Question:If an emergency physician sees a patient and performs an ED E/M service, but has [...]
