tci ED Coding & Reimbursement Alert - 2014 Issue 6

Reader Question: See Clearly When Fluoroscopy Is Separately Reportable

Question: A patient presents with an elbow fracture/dislocation, which was reduced in the ED. Fluoroscopy was performed in addition to the procedure, to evaluate presence of subluxation. Is this fluoroscopy service included in the E/M code? Mumbai Subscriber Answer: The actual CPT® code for treating the dislocated elbow will depend on the nature of the injury, such as 24600 (Closed treatment of elbow dislocation; without anesthesia) or 24640 (Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation). Neither of those codes specifically mentions fluoroscopy included in the descriptor, so it should be separately reportable.  In...

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