Wiki Closed reduction and percutaneous pinning

[kellit21]

Can a closed reduction and percutaneous both be billed together or would the closed reduction be included in the perc. pinning?

Closed reduction and percutaneous pinning of the metacarpal bone in the left thumb.

 

[Orthocoderpgu]

Before percutaneous pinning the bones are moved into place first so they can be pinned. So closed reduction is always included with perc pinning. If each were treating separate fractures, then both would be billed.

 

[kellit21]

Thank you!! That is what I have been doing, but I have some physicians that tend to make me second guess myself.

 

[Orthocoderpgu]

Thank you!! That is what I have been doing, but I have some physicians that tend to make me second guess myself.

You have to understand how doctors think. They know that there are codes for all these procedures, so they think they just just "add up" all these codes so you know what to bill. They don't see the big picture, they just list all these separate codes in their mind and think that they can all be billed.

 

[cclarson]

You have to understand how doctors think. They know that there are codes for all these procedures, so they think they just just "add up" all these codes so you know what to bill. They don't see the big picture, they just list all these separate codes in their mind and think that they can all be billed.

That is a problem I come across all too often.