tci ED Coding & Reimbursement Alert - 2009 Issue 7

Coding 'Comfort' Visits as Fracture Care Can Land ED in Hot Water

Specialist-caliber broken bone care elevates treatment to procedure status. A patient reports to the ED with a broken bone. The ED physician treats her and sends her home. This is automatically a fracture care claim & right? Wrong: Even if the physician confirms a fracture, this does not guarantee you can choose a fracture care code. Read on to find out when to code for an E/M instead of fracture care, and which modifier to use when your physician provides both services during the same encounter. Report E/M for Comforting Encounters One of the top patient problems in the...

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