tci ED Coding & Reimbursement Alert - 2017 Issue 6

Reader Question: Differentiate Splinting From Strapping

Question: A patient came to our emergency department complaining of ankle pain after falling off a curb. During a level three ED E/M service, the physician diagnosed a sprained ankle. The physician applied layers of web roll followed by adhesive tape to stabilize the ankle followed by application of an elastic bandage to the patient's ankle and foot. Is this strapping or splinting? Supercoder.com Subscriber Answer: Payers generally consider strapping the application of adhesive tape, one overlapping the other, to provide support and/or restriction of movement of ligament structures by exerting pressure upon the extremity or other area...

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