Advanced Search

Orthopedic Coding Alert

Reader Question:

Report Only 25611 for Radius, Ulna Fractures

Published on Fri Jun 11, 2004

Question: Our surgeon wants to bill both 25611 and 25651 for a percutaneous distal radius and ulna styloid fracture fixation. The NCCI does not bundle these codes, so we believe we can report them together. Is this accurate? Kansas Subscriber Answer: No. Because 25611's descriptor (Percutaneous skeletal fixation of distal radial fracture [e.g., Colles or Smith type] or epiphyseal separation, with or without fracture of ulnar styloid, requiring manipulation, with or without external fixation) says "with or without fracture of ulnar styloid," you cannot report the ulnar styloid fracture separately. Although the National Correct Coding Initiative does not bundle 25611 with 25651 (Percutaneous skeletal fixation of ulnar styloid fracture), most insurers'computer systems will reject 25651 if you bill it with 25611.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Orthopedic Coding Alert

View All