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tci ED Coding & Reimbursement Alert - 2015 Issue 6

Reader Questions: Direct Your Cast From The Right Script When Applying Casting Reporting Rules

Question: A 9 year old presents to the ED for fracture of distal radius. ED physician orders X-rays, views X-ray, and makes the decision for casting without reduction. The patient was sent to the “Cast Room”, where an orthopedic tech applied the cast. An EM level 99283 was reported.  Since the ED physician did not apply the cast, nor is there documentation that he “supervised” the cast application, is it appropriate to assign the CPT® code for casting? Delaware Subscriber Answer: Medicare rules would not allow reporting the casting services performed by someone else because of...

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