kenbeckman
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I would like some assistance with an unusual situation. Orthopedist saw patient with non-displaced radius-ulna fracture at wrist and billed with global code 25500. The patient returned two weeks later for followup and x-ray showed the fracture had slipped. Orthopedist did manipulation and casted the patient and billed with 25505, the global code for fracture care with manipulation. I do not believe he could bill two global codes in the same time frame for the same fracture, but also believe he should get paid more than the original global bill since that one did not include manipulation. Resubmitting the 25505 code for the first date of service is wrong since the fracture did not require manipulation at that time. I think the correct answer is that the provider should get paid for the 25505 on the second visit but the payment should be offset by what he received for 25500 at the first visit, but there is no coding for this? Opinion form ortho coders would be appreciated. Thanks