Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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Reader Question: Don't Forget to Link 832.00 With 24640 for Nursemaid Elbow
Question: Our physician treated a 2-year-old child for nursemaid elbow. What procedure code represents this procedure, and what ICD-9 code should I report on this claim?
Oklahoma Subscriber
Answer: You’ll report the procedure with 24640 (Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation).
On the claim, be sure to link 832.00 (Closed dislocation of elbow unspecified) to 24640 to represent the patient’s affliction.
You’ll typically be able to report a separate evaluation and management code along with 24640, since the physician will take a history, examine the patient, and then make...
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