EM Coding Alert
Tread Carefully When Coding Follow-up Visits
Question: I read your article titled “Consider the Facts to Determine Fracture Care or a Possible E/M” in the Vol. 2, No. 6 issue and wondered if I can code a separate follow-up care with a fracture code?
California Subscriber
Answer: Just because a fracture code may include follow-up care doesn’t mean that you won’t ever report a code for follow-up visits separate from a fracture code. Be sure to carefully look at the reason the patient presents for the visit.
If the E/M service during the global period relates to the original procedure making it a zero charge, you should report the included follow-up care with 99024 (Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason[s] related to the original procedure).
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