tci ED Coding & Reimbursement Alert - 2003 Issue 12

Reader Question: Maximize Payment Potential in Fracture Coding

Question: A patient presented with an injured arm, which the physician discovered was broken after examining the patient and reviewing an x-ray. The physician then applied a long-arm cast to the patient. Am I allowed to report a separate E/M service along with the cast application?New Hampshire Subscriber Answer: In this case, absolutely. Report the cast application 29065 (Application of cast; shoulder to hand [long arm]). For the E/M service, report a code from the 99281-99285 series (Emergency department visit for the evaluation and management of a patient, which requires three key components ...).  The doctor could...

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