tci E/M Coding Alert - 2020 Issue Q2

Specialty Spotlight: Focus on E/M for Presurgical Fracture Care

Global period key to modifier choice. Can you code for an E/M service if your orthopedic surgeon performs fracture care for a patient? The short answer is, yes. But you will have to show that the service preceding that care is significant and separately identifiable. To do that, you will have to make sure you append the correct modifier to the E/M service. And that means knowing the global period associated with the fracture care. Here’s how it all breaks down. Fracture Care Typically Preceded by E/M When a patient presents with a fracture, the physician almost always...

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