tci ED Coding & Reimbursement Alert - 2005 Issue 11

Tighten Up Your Fracture Treatment Coding

Solve these case studies to report casting with confidenceThe difference between definitive and restorative care can make a big difference in payment for your physician's services in the ED. Examine these three patient scenarios to see if you can determine when to report each kind of fracture treatment. Earn Appropriate Payment for Definitive Care Patient #1: A patient receives an x-ray in the emergency department that indicates she has a nondisplaced and minor impacted fracture of the proximal radial head, which the physician treats with a short arm splint and sling. The physician states, -The patient should continue wearing...

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