tci E/M Coding Alert - 2016 Issue 4

Reader Question: Code E/M for Most 'Buddy Taping' Services

Question: I work in an emergency department (ED), and I have a question about fracture care. A patient reports to the ED limping badly; after a level-three E/M service, the physician diagnoses a broken left second-digit toe. Without performing any restorative care, the ED physician “buddy tapes” the toe to the great toe. Should I code this as an E/M with a strapping code? California Subscriber Answer: As long as the physician did not perform any restorative treatment, you should report both services. Providers often use buddy taping — or taping the affected toe to the adjacent uninjured...

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