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Wiki Multiple fractures on same finger

slaw

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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
 
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.
 
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