Wiki Fracture Care vs E/M

[MWOOD]

Patient presents to office with hand injury of which the patient fell on 3 days prior. X-ray confirms triquetral fracture. Physician performs no manipulation but does splint. Would the appropriate CPT be 25630 or E/M. This patient we do plan to follow for ongoing treatment and will not be referred out to Ortho.

 

[twosmek]

It can go either way--up to the MD
See attached site from the AAOS

http://www.aaos.org/news/aaosnow/jul08/managing2.asp

 

[alb7585]

We code both. The E&M will have a mod -57 on it.

 

[campy1961]

You would code both and the E/M has a mod 57.

 

[Treetoad]

We only charge a separate E&M if there's manipulation involved. Since the non-operative fx care codes have an E&M component, we don't feel a separate E&M is warranted (unless, of course, there's a separate problem). If there's manipulation of the fracture involved, we do charge an E&M with modifier 57. Manipulation is "technically" a surgical procedure.

 

[MWOOD]

Thanks this helped me out a lot!

 

[armen]

I would bill E/M-57 + Q code for splint + 25630 + x-Ray.

 

[nyyankees]

I would bill E/M-57 + Q code for splint + 25630 + x-Ray.

yes you could...