tci ED Coding & Reimbursement Alert - 2002 Issue 6

You Be the Coder: Modifiers With Fracture Care

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer. Question: I am confused about the proper use of modifiers as they affect fracture care. Because another physician nearly always follows the patients, we add modifier -54 to the reduction code. However, we also bill an emergency visit. Is this correct? Should we use modifier -25 or -57? Idaho Subscriber     Answer: Because fracture care codes (e.g., 27816, Closed treatment of trimalleolar ankle fracture; without manipulation) are considered surgical packages, follow-up treatment is included in the code...

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