tci ED Coding & Reimbursement Alert - 2017 Issue 12

E/M Services: Nail Down the Rules for Coding E/M Codes With Fractures

Coding E/M-fracture care? You'll need one of these E/M modifiers. When your ED physician provides fracture care for a patient, he or she will very likely perform a separate E/M prior to the fracture care. How you'll report this separate E/M depends entirely on the payer, however. Check out what the pros have to say about how to separately code an E/M service and fracture care on your claims. Observe Payer Specificities on Fracture Care E/Ms For most E/M services that result in fracture care with a 90-day global period, you should use modifier 57 (Decision for surgery) on...

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