Wiki Fracture charges in office after been treated in ER

[swesthoven@bex.net]

Hi everyone, I am in need of some guidance. What is the proper way to code fracture treatment in the physician office after being treated in the ER when the hospital and office are owned by the same company? Would the hospital bill the reduction then the office bill closed treatment with no modifiers, with follow ups as 99024, casting application, and casting supplies? Would the hospital bill the reduction with a -54 modifier then the office bill each visit with the initial date of service and the original CPT from the ER with the -55 modifier with the correct date seen in box 19 with just the casting supplies (didn't think you could bill an application with a procedure code)?

Thanks for your opinions!