Wiki Please help with missed question on pre-employment quiz

gretel31

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I need to re-take a test and make 100% and I can't find anyone that can tell me what the answer is to a question I missed.

This is a clinic note. PERSONNEL placed a cast on the wrist of a woman.

Dr saw woman same day in clinic, she was an established patient, did not do surgery on wrist, was just a hair line fracture. Woman is going out of town and will come back to see physician for follow up of wrist. There was enough documentation for a 99213. It mentioned a second time cast placed by PERSONNEL.

Do I just code an E&M or do I code a cast code. Very confused since personnel placed cast and I don't have ortho background. Please help appreciate anyone's assistance.
 
Based on CPT coding guidelines for cast placement, only the cast code will be reported. An EM code may be used if substantiated by documentation the patient came in for, or was discovered during visit to have an additional diagnosis to manage. In that case, EM with modifier 25 would also be reported.
 
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