tci ED Coding & Reimbursement Alert - 2005 Issue 6

Lock In Fracture Care Reimbursement

Expert answers to 3 fracture FAQs seal the dealSeeing physician documentation with cryptic terms such as "Colles' fracture," "buckle fracture," "Pott's," and  "Torus radius" can lose you proper payment unless you can assign the correct diagnosis codes to these conditions. Take a look at these three frequently asked fracture care questions to check your coding know-how.Question 1: How should I report ED fracture care for patients with broken ribs or clavicles? Because there isn't any real, definite treatment beyond what we provide in the ED, do I need to append modifier -54 to these treatment...

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