fracture care

  1. K

    Wiki Global, office visit, and material (Q4050/ A4590)

    I run around in circles all day and my brain has meltdowns. I figure if I ask questions in here and get replies, I can reference back later for when I have another one. 1. When coding for waterproofing casts, I see some of my providers coding A4590 and others Q4050. There is a pricing...
    • KNadeau26
    • Thread
    • a4590 casting material fracture care orthopeadic q4050 water proof
    • Replies: 0
    • Forum: Orthopaedics
  2. K

    Wiki Closed Treatment Distal Ulnar Fracture

    I am searching for Closed Treatment of Distal Ulnar Fracture. Neither the Radius nor the Ulnar Styloid are mentioned. The physician coded 25545 (Open treatment Ulnar Shaft) and S52.691A for other fracture lower end of ulna, right arm. I'm in search of closed treatment of distal ulnar fracture...
  3. J

    Wiki Billing closed treatment of Vertebral Body fractures?

    An orthopedic doctor at my practice is wanting to bill 22310 for vertebral body fractures. This code requires bracing - he is wondering if we can still bill this code if we write the patient a script for a brace instead of doing it in the office ourselves. Note: If we did do it in the office -...
    • JMichelle
    • Thread
    • 22310 brace bracing compression fracture fracture care guidelines requirments spine vertebral
    • Replies: 2
    • Forum: Neurology/Neurosurgery
  4. F

    Wiki Fracture care without fracture diagnosis

    Frequently, our providers will charge fracture care when there is "no definitive fracture seen" or "possible fracture". They may send the patient for an MRI to verify the fracture. Am I correct in assuming that fracture care should NOT be charged unless they are SURE it's a fracture?? Also, if...
  5. A

    Wiki 21310

    Hi, I need clarification on billing this code. I understand global fracture care billing, however this code throws me off. It does not involve splinting or manipulation so what exactly is it billing? I don't see how we can bill an office visit and also this code if the physician only looked at...
  6. E

    Wiki Fracture care help

    Could really use some help, My provider saw a new patient for a fracture of distal radius, nondisplaced. She origionally went to an urgent care center and was told she had a fracture and to follow up with ortho. The impression of the office note states "patient was given a brace, follow up in 2...
  7. K

    Wiki Needed in order to Bill For CPT 23500

    I'm not sure if this has already been asked. I have been tasked with finding out exactly what a provider has to do in order to bill for CPT 23500 - Closed treatment of clavicular fracture; without manipulation. We've had a couple of patients call back saying they were billed for 23500 but the...
    • Kaidachi
    • Thread
    • 23500 clavicular fracture fracture care provider requirements
    • Replies: 2
    • Forum: Orthopaedics
  8. K

    Wiki Fracture Care pending MRI

    Sometimes a patient comes in with pain and a fracture is not visualized on the x-ray and they are sent for an MRI. If the MRI comes back with a definitive fracture diagnosis, would you bill the fracture care on the initial visit or when they come back in for their first follow up visit...
  9. B

    Wiki Fracture care--time frame to bill

    My Orthopaedic coders I need your help. If you have any documents that I could use for reference that would be great!!! Patient presents to Ortho surgeon with a 4 week old healing fracture. The Ortho surgeon applied a cast in office with no manipulation for treatment of the fracture. Follow...
  10. F

    Wiki Crush injury of foot, fracture care

    We have a patient who had the following injuries: Open fracture distal phalanx right great toe Open fracture distal phalanx right second toe Closed fracture distal phalanx right third toe Closed fracture distal phalanx right fourth toe Our physician performed irrigation and debridement and...
  11. F

    Wiki Transfer of care within the Practice

    One of our doctors saw a patient in the ER and billed fracture care, but the patient did not like him and wanted to transfer to another one of our docs for his follow-up care. That means everything doc #2 does is in the global period, and doc #1 gets paid. Is there anything that can be billed...
  12. C

    Wiki Does Splinting fall under fracture care?

    I am wondering if you can bill for fracture care if you applied a splint or if it only applies to casting. From the other postings regarding fracture care in the forum, it appears you can, but I would appreciate a definitive answer and some supporting documentation if possible. We have a...
  13. C

    Wiki Charging for fracture care and surgery

    We charged for fracture care when a child was initially seen in the office. On this visit, the doctor decided to take the child to surgery to do a distal radius percutaneous pin fixation. How do you code for the surgery since the fracture care creates a global scenario? Do we do a corrected claim???
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