I am new to orthopedic coding and I disagree with other office staff on how to bill a fracture. A patient was seen by a PA in the office for a fractured clavicle after hitting a deer the night before. An x-ray was done and he was sent to another facility for a clavicle strap. First I have an issue with the PA seeing the patient and providing the initial plan of care. They state we should bill for closed treatment of the fracture (23500) because there will be other visits for follow up. Would this not be a office visit (99203...)?