chrislyn1977
Networker
Wow- okay so it seems from reading all the posts that billing for fracture care codes bring up alot of questions. Here is is my question:
My physician is consulted to the hospital for a patient who has a closed ankle fracture. The physician dictates that that he treated this fracture conservatively. He does not state whether he plans to follow the patient in the hospital or have the patient follow up in the office once she is discharged. This is a nursing home patient so my guess is that he would not be following up with her, but I'm thinking they really need to put that in the dictation.
If the physician is not planning on following up with the patient then we should not bill a closed fracture care code since 21% of the payment is for post-op care. Without knowing if any other physician is planning on taking over post op care then I don't think we could bill the fracture code with a modifer 56/54 either.
I'd just like to hear what everyone elses thoughts are. Thanks.
My physician is consulted to the hospital for a patient who has a closed ankle fracture. The physician dictates that that he treated this fracture conservatively. He does not state whether he plans to follow the patient in the hospital or have the patient follow up in the office once she is discharged. This is a nursing home patient so my guess is that he would not be following up with her, but I'm thinking they really need to put that in the dictation.
If the physician is not planning on following up with the patient then we should not bill a closed fracture care code since 21% of the payment is for post-op care. Without knowing if any other physician is planning on taking over post op care then I don't think we could bill the fracture code with a modifer 56/54 either.
I'd just like to hear what everyone elses thoughts are. Thanks.