tci ED Coding & Reimbursement Alert - 2016 Issue 3

Reader Question: Don't Misstep When Dealing with Tarsal Fractures

Question: We had a patient present with a non-displaced tarsal bone fracture, which did not require manipulation.  Instead of applying a cast, the physician placed a prefabricated short leg removable cast. The patient will not require much in the way of additional treatment, but was instructed to follow up with the orthopedist in two weeks. Can this be reported as fracture care?  Wisconsin Subscriber Answer: Yes, if documented appropriately you would report one code for this patient —28450 (Treatment of tarsal bone fracture [except talus and calcaneus]; without manipulation, each). In this case, the physician has...

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