tci ED Coding & Reimbursement Alert - 1999 Issue 2

Reader Question: Billing an E/M addition to Fracture Care

Editors Note: The coding advice this month has been provided by Susan Stradley, CPC, CCS-P, a health management consultant with Elliott, Davis and Company, in Augusta, GA, and a former hospital and ED coder, and Garnet Dunston, CPC, MPC, national secretary of the American Academy of Professional Coders Advisory Board.Question: Our ED does a lot of fracture care, including casting and reductions. Since most of our patients will follow up somewhere else, we will append the -54 modifier to the codes. We also charge an E/M code with the fracture care and use the -57 modifier on the...

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