Wiki Multiple fractures on same finger

[slaw]

I have a patient who broke the right 2nd finger in multiple places. Dr treated all fractures with no manipulation by applying a cast. He wants to bill 26720 and 26750. Would this be approptriate, or should we only bill one fracture care codes since only one cast was applied?

Thank You,
Stacy Law

 

[vmcunningham]

Casting multiple fx without manipulation

Per the NCCI edit manual this guideline changed effective 1/1/14. If you have more than one fracture & both are being treated by the same cast or splint make sure you are billing only the highest RVU fracture.

14. If a single cast, strapping, or splint treats multiple closed fractures without manipulation, only one closed fracture treatment without manipulation CPT code may be reported. Additionally, if a single cast, strapping, or splint treats multiple fractures without manipulation in addition to one or more fracture(s) with manipulation, a closed fracture without manipulation CPT code should not be reported separately. These policies also apply to the closed treatment of multiple fractures not requiring application of a cast, strapping, or splint.
If a cast, strapping, or splint applied after an open or percutaneous treatment of a fracture also treats a closed fracture without manipulation, a closed fracture without manipulation CPT code should not be reported separately.