tci ED Coding & Reimbursement Alert - 2009 Issue 9

ICD-9 Choice Could Make or Break "Buddy Taping" Encounters

Sprained, bruised, broken ... avoid denials by finding out exact injury. When a patient reports to the ED with a broken toe and the ED physician "buddy tapes" it to another toe for stabilization, reporting a fracture care code vs. a strapping code is an important consideration -- it might make a difference of $95 per encounter. Look out for payer discrepancies, however, as there is no golden rule for coding this type of toe-taping. Spot Definitive Care, or Forget Fracture Code If the physician provides restorative/definitive care for the patient's broken toe, the service could be fracture care. "Buddy...

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