hanoz420@hotmail.com
Networker
Hi,
I was just wondering what kind of verbage is required for my docs to perform closed trmt of fx's in the office setting? I know closed trmts can easily consisit of splintting, strapping or casting. However if the doctor is charging a 27750 and the documentation states:
male with Left leg pain after a fall 2 days ago. He was seen in the ED where XR were taken and he was shown to have a minimally displaced tibial shaft fx. He has been NWB in a posterior splint with minimal discomfort.
Assessment: Left tibial shaft fracture
Plan: Images and dx reviewed with father. Long leg splint placed today and he will RTC in 7 days to change into a long leg cast. Possiblity of future growth plate abnl also d/w with his father.
Does documentation suffice? I'm thinking not......how simple can the verbage be? Any feedback would be greatly appreciated!
Have a great day!
I was just wondering what kind of verbage is required for my docs to perform closed trmt of fx's in the office setting? I know closed trmts can easily consisit of splintting, strapping or casting. However if the doctor is charging a 27750 and the documentation states:
male with Left leg pain after a fall 2 days ago. He was seen in the ED where XR were taken and he was shown to have a minimally displaced tibial shaft fx. He has been NWB in a posterior splint with minimal discomfort.
Assessment: Left tibial shaft fracture
Plan: Images and dx reviewed with father. Long leg splint placed today and he will RTC in 7 days to change into a long leg cast. Possiblity of future growth plate abnl also d/w with his father.
Does documentation suffice? I'm thinking not......how simple can the verbage be? Any feedback would be greatly appreciated!
Have a great day!
