tci ED Coding & Reimbursement Alert - 2012 Issue 2

Reader Question: Tread Carefully When Dealing with Tarsal Fractures

Question:My physician saw a patient for a non-displaced tarsal bone fracture, which did not require manipulation. Rather than applying a cast, the physician placed a prefabricated short leg removable cast. I spoke with my physician and the patient will not require much in the way of additional treatment. She was instructed to follow up with the orthopedist in 2 weeks. Can this be reported as fracture care? Wisconsin subscriberAnswer:Yes, this would be reported using code, 28450 (Treatment of tarsal bone fracture [except talus and calcaneus]; without manipulation, each). In this case, the physician has determined that there is a...

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