Wiki Global Fracture/help!

[CSTANTON]

We have a patient who is in a global for a tib/fib fracture--she has fallen again and fractured the same leg in a different location. Can we now bill an E/M visit even though the patient is already in a global for the previous fracture of the same leg? If so-what modifier would we use-24?

 

[mbort]

yes the -24 modifier is correct.

 

[FTessaBartels]

What about additional fracture care?

Definitely -24 modifier
Are you also making a decision to treat a new fracture and providing a new fracture treatment?
Then you might also want -57 decision for surgery, in addition to your fracture treatment CPT.

Be prepared for a denial and for having to appeal. Be sure your MD documents thoroughly.

Let us know what happens.
F Tessa Bartels, CPC

 

[mbort]

nice catch on the -57 F Tessa Bartels!!

I wasnt thinking that far in advance..its been a long week