tci Part B Insider - 2015 Issue 32

Part B Coding Coach: Fracture Care Spans Multiple Providers? Try These Modifiers

When you divide fracture claims, providers engage in a 70/30 split. Let’s face it: When there are multiple providers involved in fracture care, breaking up the coding is hard to do. If your provider performs only a portion of the fracture care service, proper coding depends on proper modifier use. Which modifier you will use, however, will depend on the portion of the service your provider performs. Don’t leave your claims in misery. Avoid accusations of overcoding and the ire of suspicious payers with this expert advice on coding for portions of fracture care service. Pin 54...

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