tci ED Coding & Reimbursement Alert - 2008 Issue 11

Look for E/M Service on Your Fracture Claims, or Lose $$$

Additional E/M service almost a given, if you can ID 3 key components If you stop coding your fracture care claim with the appropriate CPT codes and necessary modifiers, you-ll likely cost the practice a reportable E/M service. "It is highly likely that a physician will perform an E/M with fracture care," reports Yvonne Mayer, CPC, senior coding analyst at One Park Fletcher in Indianapolis. "In the ED setting, [reporting] an E/M service is almost always justified in addition to any fracture care," explains Michael Lemanski MD, ED billing director at Baystate Medical Center in Springfield, Mass...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.