Pediatric Coding Alert

Question: Our office has an after-hours facility that treats acute illnesses and non-complex injuries after hours and on the weekends. We see mostly our own patients; however, we do offer our ervices to other providers' patients in town so they can avoid the emergency department prices if possible. When one of our patients presents with a fracture and our provider will be assuming the fracture care for the duration of the treatment, we code using the appropriate global fracture care code. For outside patients since the areas are usually too swollen to cast, the initial treatment often is a temporary splint/cast/sling (as appropriate). The patient's primary care provider (PCP) places the permanent cast a few days later. To bill for a patient who is not ours, and his/her own PCP (outside of our office) will be assuming the care for the fracture should I: • Bill office visit with application [...]