tci ED Coding & Reimbursement Alert - 2016 Issue 4

Reader Question: Don't Cause an Incident by Billing for Cast Application Without Physician Involvement

Question: A 10 year old presents to the ED for fracture of distal radius. ED physician orders X-rays, views the films, and order casting for support without reduction. The patient was sent to the “Cast Room,” where an orthopedic tech applied the cast. An EM level 99283 was reported by the emergency physician. Since the ED physician did not apply the cast, nor is there documentation that he “supervised” the cast application, is it appropriate to assign the CPT® code for casting? Michigan Subscriber Answer: Medicare rules do not allow reporting the casting services performed by...

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.