Wiki Backwards question on fracture care

[ericksob]

Hi all, my coworker and I are challenging a bill by an orthopedist in the following situation:
The patient had a fall resulting in a radial head fracture. She went to urgent care and had an x-ray and a splint applied. The UC provider charged her an E &M NP OV plus splinting charges and referred her to orthopedics for f/up. The ortho removed the splint did another x-ray and advised her to wear a sling. He charged her an NP OV and 24650. My question specifically is, if he didn't apply a splint or cast at all, and was not the first provider to see her, can he charge the initial fracture care code? She had one f/up appt with him. Thanks for any assistance!

 

[johnmeyer]

I really don't see how he could charge a 24650 if all he did was remove the splint and take a x-ray.

 

[nyyankees]

Hi all, my coworker and I are challenging a bill by an orthopedist in the following situation:
The patient had a fall resulting in a radial head fracture. She went to urgent care and had an x-ray and a splint applied. The UC provider charged her an E &M NP OV plus splinting charges and referred her to orthopedics for f/up. The ortho removed the splint did another x-ray and advised her to wear a sling. He charged her an NP OV and 24650. My question specifically is, if he didn't apply a splint or cast at all, and was not the first provider to see her, can he charge the initial fracture care code? She had one f/up appt with him. Thanks for any assistance!

The key will be the follow-up visits. He is technically treating the fracture with a sling (immobilization) and most likely doing the follow up post-op visits.

 

[pineapplelvr]

i would say he can because he's taking on the resposibility/risk of treating that patient and any follow up of it...