staceyp812
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Hi I need help with fracture billing. An ortho has a pt who came in with a metarsal fracture, treated in the ER. After 3 visits, all of which were billed as 99212 instead of an ortho follow up code pt was advised to ease out of her boot. About a month later pt came back for pain and upon x-ray it was discovered that pt has a 2nd fracture that had previousely been missed. Visit was again billed as 99212. My confusion is when can the provider decide that he is going to do all visits E/M instead of fracture care? Any help is appreciated!
Stacey CPC
Stacey CPC