tci Part B Insider - 2016 Issue 15

Part B Coding Coach: For Multiple Fracture Repairs,Take Into Account E/M and Modifier 51

Don’t miss this 2016 Medicare guidance for global fracture treatments. Miscoding when your surgeon in the ED provides multiple fracture repairs in the same session can mean you’re missing out on deserved payment. Read on for advice on how to appropriately list fracture services, beginning with the highest value code. Tip 1: Capture All Services You should list all fracture repair services that your surgeon provides to keep from omitting work units for any fracture that your surgeon is treating. Example: You may read that for a patient who presented to the ED with a swollen foot...

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