Part B Coding Coach: Ethically Add Dollars to Your Fracture Care Claims

Why This Topic Matters

Correctly distinguishing fracture care from separate E/M and application services affects claim accuracy, follow-up billing, and reimbursement. The topic is especially relevant for practices that manage common orthopedic injuries and want consistent Part B coding workflows.

Article Sections

1. Consider Fracture Care for Global Care

   Introduces the general factors used to evaluate whether an injury visit may fit a global fracture care pathway. Discusses the initial care context, follow-up responsibility, and other broad considerations.

2. Opt for E/M and Casting in These Instances

   Reviews situations in which the article frames E/M plus casting or strapping as the more relevant billing approach. Also addresses the related use of separate service reporting and a modifier on the E/M service.

3. Generate More Revenue With Same Work

   Compares common finger and toe injury scenarios from a reimbursement and global-period perspective. Focuses on how similar services may be viewed under different reporting pathways and how follow-up care fits into those scenarios.

4. Code In-Global Service Based on Reason

   Explains how the reason for a visit during a global period affects reporting of follow-up or unrelated services. Includes a general discussion of how practices may manage post-service visits within a group setting.