Wiki ED Consult with Closed Treatment

Create Wiki
C

cmacpc

Networker
Messages
81
Location
Surprise, AZ
Best answers
0
Good Morning And Happy Friday:

I need some clarification please on the following scenario:
Patient was seen in the ED Dept for consult on 3/27/19 by Ortho diagnosed with Right Radial Head Fracture, she will be taken to OR 04/08/19. Dr. wants to charge for closed treatment w/consult??? Is this possible???:confused:

TIA,
 
Was manipulation done? If it was then I'd bill for the closed treatment with the E/M and 57 modifier for 3/27/19. Then bill the surgery on 4/8/19 with 58 modifier.

If he is just evaluating it and then scheduling future surgery I'd just bill the E/M for 3/27/19 and wait to bill the fracture care until surgery.
 
according to documentation "reduction and splinted fracture in ED". She will follow up in clinic to arrange for follow up and arrange for outpatient surgery. So I take it this is a yes for closed treatment and a 58 modifier on the ORIF?
 
You must log in or register to reply here.
Top