tci ED Coding & Reimbursement Alert - 2022 Issue Q4

Reader Questions: Go Digital for Finger Fx Modifier

Question: Encounter notes indicate that after a level-four evaluation and management (E/M) service, the ED provider performed closed treatment of a metacarpal fracture without manipulation. The repair occurred on the third digit of the patient’s right hand. How should I report this encounter? Do I need modifier RT for the fracture repair? Indiana Subscriber Answer: No, you won’t need modifier RT (Right side) — but you will need another modifier in its place to complete this claim. For this encounter, report: 26600 (Closed treatment of metacarpal fracture, single; without manipulation, each bone) for the fracture repair. Modifier...

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