A patient was seen as a consult in the ER on 10/11 by an Ortho doctor. A closed reduction with hematoma block was performed and splint applied. Patient was admitted to observation on 10/11. On the next day, 10/12, it was decided that the fracture was unstable and the patient needed ORIF. Can the E&M with a -57 and the closed fracture care be billed on 10/11 or is it all covered in the charge for the ORIF performed on 10/12 or would only the E&M on 10/11 be billable?