Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci ED Coding & Reimbursement Alert - 2022 Issue Q3
Reader Questions: Don’t Shortchange Yourself in This Splinting Scenario
Question: The ED physician performed an evaluation and management (E/M) service for a patient who had a sprained left ankle and wrist. Then, they applied short splints to the patient’s ankle and wrist using molded non-off-the-shelf materials. Can we code separately for the splint application, or is that part of the E/M service?Maine Subscriber
Answer: You can code separately for the splint applications. On the claim, report:
29515 (Application of short leg splint (calf to foot)) for the short leg splint.
Modifier LT (Left side) appended to 29515 to indicate laterality.
S93.02XA (Subluxation of left ankle...
To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.
You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.
Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1998 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com