Wiki Healing Fractures

[LLRodgers]

Hello,

I need some help!

I have a patient who on 12/31/14 fractured their scapula - I coded the fracture with fracture care.

Then they had a Follow up in Jan 4, 2015.

Then in late Jan 2015 they were in the hospital for a fractured hip, our doctor saw them in the hospital as a consult, non-operative treatment.

Then they came to the office in March 2015 for a follow up for the hip fracture. The diagnosis was healing hip fracture.

My question is should I have coded that hip fracture w/fracture care or coded a V54.13 with a straight E/M code?

Any help would be appreciated.

Thank you,
Linda

 

[mitchellde]

If the fracture is considered healing the yes apply the V code for the follow up of the shoulder jan 4 and the follow up of the hip in March.

 

[jzancanella]

I think it was ok to code the hip as fracture care, but should have added a 79 modifier since they were already in a global for the scapula fracture care.

 

[mitchellde]

It is documented as a healing fx with no direct fracture treatment. So there will be nomdocumentation to support fracture care with an acute fracture.

 

[LLRodgers]

Thanks for the information, fracture care gets me confused some times. To this is very much appreciated.

Again, Thank you and Have an Amazing Day!

Linda