DecisionHealth, DecisionHealth - 2024 Issue 12 (December)

Q&A: Reporting fracture care follow-up care only

Question: A patient has a fracture reduced in the emergency room (ER) and then is sent to the orthopedic practice for postoperative care. The ER bills out the reduction with a 54 modifier (Surgical care only). What is the best way to determine if we should bill a modifier 55 (Post-operative care only) or itemized care for the post-op visits?

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