tci ED Coding & Reimbursement Alert - 2010 Issue 11

Reader Questions: Choose correct modifiers eafor procedure, E/M portions of visit

Question: A patient reports to the ED with a closed dislocation of the left hip. After performing a level-four ED E/M service, the ED physician performs joint reduction without anesthesia. Upon completing the reduction, the physician prescribes painkillers and instructs the patient to follow up with an orthopedic specialist in a week to 10 days. How many, and which, modifiers will I need to make this claim correct? New York SubscriberAnswer: You should append one modifier to each CPT code you submit. On the claim, report the following:27250 (Closed treatment of hip dislocation, traumatic; without anesthesia) for the reductionModifier...

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