iowagirl77
Expert
I have an odd situation- the patient was admitted to the hospital by one of my providers for a hip fracture. The patient opted for non-operative treatment and the provider planned for pain management and physical therapy. Later the same day, the patient underwent ORIF by another one of my providers for this fracture. There are no notes as to why this changed- I assume the patient changed his mind.
Can I bill the E/M with 57 modifier (can 57 be used as the decision for non-operative fracture care?) and 27238 for provider one, and bill 27244-58 for provider two? Or can I only bill 27244 since the E/M doesn't indicate decision for the actual surgery, just non-operative care?
Thanks!
Can I bill the E/M with 57 modifier (can 57 be used as the decision for non-operative fracture care?) and 27238 for provider one, and bill 27244-58 for provider two? Or can I only bill 27244 since the E/M doesn't indicate decision for the actual surgery, just non-operative care?
Thanks!