tci ED Coding & Reimbursement Alert - 2003 Issue 5

Break Bad Coding Habits With Fracture Care Answers

If you receive only a fraction of your fracture care reimbursement, read these Q & A's to get your coding in line. Make sure your coding guidelines match up with these five answers.Look for Definitive Care Question #1: When should you report fracture and dislocation (F/D) codes for ED physicians? Answer #1: You should report F/D codes (20000-29999) whenever the ED physician performs definitive/restorative care, says Terri A. Brame, CPC, compliance coordinator at Saint Elizabeth Physician Network in Lincoln, Neb. Append these codes with modifier -54 (Surgical care only) because the ED physician generally doesn't provide the follow-up...

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