tci ED Coding & Reimbursement Alert - 2008 Issue 6

Reader Questions: Observe Restrictions on Strapping Codes

Question: A patient who fell out of his bed while sleeping reports to the ED complaining of pain in his right wrist. During a level-three E/M service, the physician diagnoses a sprained wrist. The physician wraps the wrist in tape and covers it with an elastic bandage. Can I report a strapping code, or is the strapping part of the E/M service? Oregon SubscriberAnswer: You should be able to report the strapping separately. Payers will allow you to report a strapping code when: - the strapping is a replacement procedure or - the strapping is an initial service to...

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