tci ED Coding & Reimbursement Alert - 2015 Issue 3

Reader Question: Break Out the Professional EM Procedure for Fracture Care

Question: We are in the middle of a debate and need some help for both the facility and the professional side. Here is the scenario: Patient has sustained a Trimalleolar fracture of the left ankle.  He presents to the ED and receives a reduction of the ankle fracture by the ED physician with procedural sedation, which demonstrates correct alignment after a post reduction film.  Patient is referred to a specialist for evaluation right away since the possibility of a trip to the OR is not ruled out. Can the ED physician bill the fracture care? Virginia Subscriber...

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