DecisionHealth, DecisionHealth - 2016 Issue 7 (July)

Splinted before surgery? If you’re admitted, the office charge goes away

Question: We saw a patient in our office with a fractured ankle to which we applied a short splint (29515). He was admitted to our local hospital the same day and had ORIF [open reduction internal fixation] the following day. Medicare has denied our claim, saying he was an inpatient because of the admission. On what grounds can we appeal?

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