tci ED Coding & Reimbursement Alert - 2002 Issue 8
Use Modifiers to Sort Fracture Care Management
Because orthopedic codes can seem like the whale that swallowed Jonah encompassing both preoperative and postoperative treatment while leaving fracture care stranded in a very small boat coding fractures requires the faultless use of confusing modifiers. When definitive or restorative treatment begins in the ED but follow-up care takes place elsewhere or at a later date, you can use modifiers to obtain legitimate reimbursement for the ED physician's effort. "One thing I have to remind coders about is billing for any extra care that occurs in the ED" other than fracture care, says Tracie Christian, CCSP, CPC, director of...
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