Ok I've looked through a ton of threads in the ED forums and I've seen some conflicting answers. I do ED facility and profee coding but we're having a debate about the physician's side of splint billing.
Doc orders a splint be placed (clinician-made, not pre-fab). Nurse places the splint and documents a Splint Assessment. I KNOW I'm going to bill a splint code for the facility, but we're divided on whether to bill a splint code for the physician as well. On the one hand, the splint is documented as "CLINICIAN-made" and he puts the order in, on the other hand he didn't actually place the splint nor do I see any post-splint exam performed by the doc.
Is this just an issue of needing more documentation from the provider? How would you bill?
*Note, we are not billing for fracture care, no referral to ortho, no reduction, etc. Strictly just an E/M + Splint.
Doc orders a splint be placed (clinician-made, not pre-fab). Nurse places the splint and documents a Splint Assessment. I KNOW I'm going to bill a splint code for the facility, but we're divided on whether to bill a splint code for the physician as well. On the one hand, the splint is documented as "CLINICIAN-made" and he puts the order in, on the other hand he didn't actually place the splint nor do I see any post-splint exam performed by the doc.
Is this just an issue of needing more documentation from the provider? How would you bill?
*Note, we are not billing for fracture care, no referral to ortho, no reduction, etc. Strictly just an E/M + Splint.