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phycoder

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ok bare with me.... Is there a fracture treatment code always coded when a patient comes in with a fracture (referring to initial only). The patient comes in with a fracture and a cast is applied (no manipulation or surgery) do I use a fracture care code (with no charge for casting of course as its included in initial)? For example.. a patient comes in with a radial shaft fracture and a cast is applied should I code a 25500 or just a e/m code? I really, really need some advice
 
No, it is dependent on the intent of the provider to place the patient in non-operative fracture care and bill the global. It is not an "always" situation just because someone is casted. They have to call out that they wanted to do that. Otherwise it is billed what is referred to as the "itemized" method where the patient is seen and charged for an office visit for follow ups and the initial casting and E/M.
 
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