Wiki 24670 in the office after treatment in the ED

[Aleida]

Patient's non-displaced ulnar fracture was reduced with manipulation in the ED and ortho surgeon co-signed the note. Ortho surgeon reviewed post-reduction xray and billed 24670 in the office 11 days after ED visit. Is the 24670 billable?

 

[Orthocoderpgu]

This will depend on how the ED physician billed. Chances are the ED physician billed out the 90 day global and did not use a modifier stating that they were billing the operative procedure only. If the ED physician billed this as a 90 day global procedure without a modifier yours will be totally denied.

 

[Aleida]

Thank you.