gr8gal61
Guru
I am sooooooooooooooo confused and need some expertise please. How is fracture aftercare coded? Ex; patient goes to ER/ED and is seen with left humerus simple supracondylar fx. The ED physician places a long arm, posterior splint, prescribes ibuprofen & refers to ortho physician. The code used in the ER was 812.41 plus the E&M code.
Patient goes into the Ortho for the first time, the code used was the same 812.41 & bills and NP E&M-25 along with long arm cast 29065.
The patient returns to the Ortho for a follow up, a week later, physician orders xrays, and removes cast & reapplies a new cast. Xray reveals no change in alignment with evidence of healing fracture. The doctor now uses dx 719.42 - left elbow joint pain. Charges an E&M, 992125-25 along with application of long arm cast, 29065.
Another follow up visit occurs a week later, same documentation as prior week except the Xray reveals no change in alignment with callus formation and evidence of healing. Same codes used, 99212-25, 29065 ICD9 719.42
I THOUGHT in order to bill for cast removal, application and supplies, V54.11 must be used???
What am I missing? I do not know if the E&M can be billed because of the Xray order but I don't believe both the application and E&M can be billed when the doctor is not using the V code????
HELP PLEASE
Patient goes into the Ortho for the first time, the code used was the same 812.41 & bills and NP E&M-25 along with long arm cast 29065.
The patient returns to the Ortho for a follow up, a week later, physician orders xrays, and removes cast & reapplies a new cast. Xray reveals no change in alignment with evidence of healing fracture. The doctor now uses dx 719.42 - left elbow joint pain. Charges an E&M, 992125-25 along with application of long arm cast, 29065.
Another follow up visit occurs a week later, same documentation as prior week except the Xray reveals no change in alignment with callus formation and evidence of healing. Same codes used, 99212-25, 29065 ICD9 719.42
I THOUGHT in order to bill for cast removal, application and supplies, V54.11 must be used???
What am I missing? I do not know if the E&M can be billed because of the Xray order but I don't believe both the application and E&M can be billed when the doctor is not using the V code????
HELP PLEASE