Do you include the initial fracture evaluation with a fracture care code in the office? Example I have is the urgent care physician saw the patient, obtained x-rays and noted wrist fracture. Patient was splinted and sent to ortho and seen within 5 days. Orthopod evaluates, reviews previous x-ray and determines there is a slight displacement and reduces the fracture in the office. Takes additional x-rays and casts pt. Would you allow an E/M to be billed with the fracture care code with manipulation? The patient had already received an initial eval and x-rays identified the fracture so the thought is that the E/M is included.