Wiki Total Fracture Care

[glebeda]

We have a new sports orthopedic doc who is looking for information on Total Fracture care and what needs to be documented.

Here is part of his discussion:

'if I could bill "Total fracture care," on a patient. I believe it is putting a 90 day global -55 modifer on a specific fracture treatment code, but there are situation requirements and some specific things that need to be documented'

Could someone help me understand total fracture care.

Thanks,
Grace Lebeda

 

[Evelyn Kim]

Hi Grace,
the only time a 55 modifier would be needed is if someone else billed the FX care and it is being taken over by your physician. As for documentation a standard note that indicates the location, type and the alpha character to identify active treatment. It is helpful if he documents the need for follow-up and when the patient should return for re-evaluation and cast removal. If x-rays are taken or if the provider has access to view the films online he should include a statement of having viewed the x-rays.

Hope this helps.