tci Part B Insider - 2009 Issue 30

READER QUESTION: Multiple Injuries? No Problem!

Mind your modifiers to ensure payment for several procedures and diagnoses. Question: A 30-year-old female presented to a rural emergency department (ED) with several injuries after the all-terrain vehicle she was driving overturned. During a levelfive ED E/M service, the physician diagnosed a fractured metacarpal shaft in her left hand and a fractured left femur, and provided closed manipulative treatment for each fracture. How should we code the CPT and ICD-9 codes for this chart? Answer: Report the most severe fracture first, and make sure that you append a surgical modifier to the treatment codes. For instance: • 27502...

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