Wiki Unsucessful manual reduction

[JulesofColorado]

A pt came in for acute coccyx fracture. The physician attempted to manually reduce this unsuccessfully. Do I code that? If so, how?

Thanks in advance?

 

[ahinman]

I would look in your CPT book around code 22315 and see which code in this area comes close to your procedure note. After code selection I would append the 52 modifier for reduced services.

 

[LTibbetts]

I would NOT code it. If it wasn't done, you can't charge for it. I would code only the fracture treatment (i.e. casting, etc.)

 

[ahinman]

The procedure was done if the procedure note states that he attempted reduction. Just because the end result of the procedure did not work does not mean he did not do it. If he attempted reduction it WAS done. I would still code this with reduced services modifier.

 

[JulesofColorado]

I spoke to my supervisor about this and she said to code it also with modifier 52. Thanks for your input.

 

[LTibbetts]

The procedure was done if the procedure note states that he attempted reduction. Just because the end result of the procedure did not work does not mean he did not do it. If he attempted reduction it WAS done. I would still code this with reduced services modifier.

I think on this one we will have to agree to disagree...sorry. This is definitely a "sticky" one. I stand by my comment.

 

[JulesofColorado]

No need to be sorry Leslie. I appreciate your comments.