Wiki fracture management

[lewisbr]

Hi i wanted to ask a question, i am unsure on how i should code this, a patient indicated she was seen in a local er and diagnosed with colles fx, and placed in splint, and was referred to our ortho office for followup care, however, when our doc examined her, he determined she needed surgical invertention, but due to the age of the patient, her family declined surgical intervention against the docs findings, instead they finally opted for a closed reduction in office to set the fx and placed a new splnt, should we bill for the initial fx 25605 even though the patient was seen in the ER first? thanks for any input

 

[tefranklin57]

When the ER stablize the fracture with a splint, and your provider is providing active treatment, closed reduction. So yes bill CPT 25605.

 

[lewisbr]

thanks for your response tefranklin57