LLRodgers
Guest
Can anyone direct me on how I should of coded this:
1. The patient slipped and fell on ice on 1/31/15 and went to the ER
2. She was in a lot of pain and she lives alone and did not want to be home alone while in so much pain ER admitted her and they did a CT scan to see if she did in fact have a fracture pelvis
3. Then on 2/2/15 they discharged her to our Acute Rehabilitation Facility for Pt and OT Ambulation
4. Our doctor saw her there on 2/4/15 and our other doctor saw her there on 2/1215
5. Discharged from Rehab on 2/2/15 by a doctor not in our practice and ordered hospital bed for home and use of walker
6. We then saw her in our office on 3/11/15 for the first time.
I had coded this as a healing fracture code with an E/M code and then in talking with one of our billers it was pointed out that I should have coded a fracture care since the hospital does not code fracture care. So we changed it to a Fracture Diagnosis and a Fracture Care code.
Now we have a supervisor telling us that the fracture care started on 2/4/15 (that is when we saw her in the Acute Rehabilitation Facility at the hospital) and it was coded 808.8 (fracture) with a 99231 (subsequent hospital care) then on 2/12/15 it was coded the same way (subsequent hospital care)
Then on 3/11/15 (when the patient came into our office for this) I coded V54.13 with 99212 then I was told since the hospital does not code fracture care I should have done that so it was changed.
Now I am being told the Fracture care started on 2/4/15 not 3/11/15 So I am confused how I should of coded this when they came to our office for the first time.
Should I have coded a V54.13 with a 99024?
Thank you!
Linda
1. The patient slipped and fell on ice on 1/31/15 and went to the ER
2. She was in a lot of pain and she lives alone and did not want to be home alone while in so much pain ER admitted her and they did a CT scan to see if she did in fact have a fracture pelvis
3. Then on 2/2/15 they discharged her to our Acute Rehabilitation Facility for Pt and OT Ambulation
4. Our doctor saw her there on 2/4/15 and our other doctor saw her there on 2/1215
5. Discharged from Rehab on 2/2/15 by a doctor not in our practice and ordered hospital bed for home and use of walker
6. We then saw her in our office on 3/11/15 for the first time.
I had coded this as a healing fracture code with an E/M code and then in talking with one of our billers it was pointed out that I should have coded a fracture care since the hospital does not code fracture care. So we changed it to a Fracture Diagnosis and a Fracture Care code.
Now we have a supervisor telling us that the fracture care started on 2/4/15 (that is when we saw her in the Acute Rehabilitation Facility at the hospital) and it was coded 808.8 (fracture) with a 99231 (subsequent hospital care) then on 2/12/15 it was coded the same way (subsequent hospital care)
Then on 3/11/15 (when the patient came into our office for this) I coded V54.13 with 99212 then I was told since the hospital does not code fracture care I should have done that so it was changed.
Now I am being told the Fracture care started on 2/4/15 not 3/11/15 So I am confused how I should of coded this when they came to our office for the first time.
Should I have coded a V54.13 with a 99024?
Thank you!
Linda