tci ED Coding & Reimbursement Alert - 2022 Issue Q4

Reader Questions: Leave This Surgical Modifier off This Splint Application Scenario

Question: Notes indicate that after a level-three ED evaluation and management (E/M) service, the provider applied a static finger splint to the patient’s left thumb. How should I report this encounter? Connecticut Subscriber Answer: On the claim, report: 29130 (Application of finger splint; static) for the finger splint application. Modifier FA (Left hand, thumb) appended to 29130 to indicate the anatomical area of the splint application. 99283 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making...

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