klestes
Guest
I was taught reduction meant manipulation. My doc reduced distal radius fx and put on a ex fix. We coded it as 25605 and 20690. It was denied. This is how the op note read.
He talks about placing the ex fix pins. "We then evaluated out lelngths of our pins, and were satisfied w/those. Is is of note at this time that patient went to another episode of atrial fibrillation, and had issues maintaing her pressure. This id cause us to expedite our procedure. We obtained a quick preliminary reduction. With AP & lateral fluoroscopy, we were satisfied we were out to length & appropriate neutral tilt. We then tightened down our ex-fix. Now tell me if I'm wrong but can we not bill for the closed reduction along with the application of the ex fix. By the way it was a Medicare patient.
Thanks for any suggestions you may have.
He talks about placing the ex fix pins. "We then evaluated out lelngths of our pins, and were satisfied w/those. Is is of note at this time that patient went to another episode of atrial fibrillation, and had issues maintaing her pressure. This id cause us to expedite our procedure. We obtained a quick preliminary reduction. With AP & lateral fluoroscopy, we were satisfied we were out to length & appropriate neutral tilt. We then tightened down our ex-fix. Now tell me if I'm wrong but can we not bill for the closed reduction along with the application of the ex fix. By the way it was a Medicare patient.
Thanks for any suggestions you may have.
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