Wiki Cpt 24650

[mquiroz]

The doctor listed Closed treatment of radial head or neck fracture but it does not look like any actual treatment was provided to the patient other than a sling and prescribing pain medication. Would that qualify to bill for CPT 24650? He also billed for the ER visit 99284
Just want t make it would be appropriate to bill 24650

Thank you

 

[cgaston]

Here is the description for code 24650:

The provider examines the elbow and reviews x-rays. With the fracture in satisfactory alignment, he applies a splint or cast to keep it in position.


If he noted that he reviewed the xray and confirmed alignment then I would bill for it.

 

[mquiroz]

Thank you so much! That is all I needed to know

 

[CodingKing]

Sling is insufficient for billing full fracture care code. It would be just the E&M code if it didn't need to be casted or splinted.

 

[cgaston]

From here: http://static.aapc.com/a3c7c3fe-6fa...48d1/12b6c0ff-9ca7-4839-ac64-e52b76b80f22.pdf


 NOT ALL FRACTURES WILL BE TREATED WITH A CAST

o Orthoses such as CAM walkers, Sarmiento sleeve

o Fractures such as the proximal humerus, scapula, radial head and neck and clavicle cannot be immobilized in a cast

o Standard of care is treatment in a sling