KELLERCC
New
I work in a teaching hospital and do medical coding for the Emergency Room attending profession component. If a patient has a bone fracture splinted/casted in the ER. The ER attending and resident perform this procedure. Due to the fracture being unstable the patient is either admitted for surgical fixation of the fracture or has a follow-up visit to schedule the surgery.
Should I bill for a closed fracture treatment without manipulation with a 54 modifier or for the E/M and cast only?
Should I bill for a closed fracture treatment without manipulation with a 54 modifier or for the E/M and cast only?