Need some help on a fracture charge:
Patient came into office to see one of our doctors due a foot pain for a few months. Pt. had a MRI done that was ordered by her PCP.
Documentation states MRI confirms was reviewed and pt. has stress fractures of the second and third metatarsals. Alignment is normal. Pt. is improving and will not be put in boot. Will continue with hard-soled shoes. Follow up for x-ray in 4 weeks.
My question is, my doctor wants to bill and E&M and fracture charge for this visit.
I do not believe this to be correct as his documentation does not support his fracture charge.
Any advice would be greatly appreciated. Thanks
Jennifer, CPC
Patient came into office to see one of our doctors due a foot pain for a few months. Pt. had a MRI done that was ordered by her PCP.
Documentation states MRI confirms was reviewed and pt. has stress fractures of the second and third metatarsals. Alignment is normal. Pt. is improving and will not be put in boot. Will continue with hard-soled shoes. Follow up for x-ray in 4 weeks.
My question is, my doctor wants to bill and E&M and fracture charge for this visit.
I do not believe this to be correct as his documentation does not support his fracture charge.
Any advice would be greatly appreciated. Thanks
Jennifer, CPC