tci Part B Insider - 2020 Issue Q2

Part B Coding Coach: Scan Fracture Notes for Presurgical E/M Services

Tip: Global period determines modifier. Orthopedic surgeons often perform a significant, separately identifiable E/M service before administering fracture care. Plus, you can code for that separate E/M as long as you can prove it is truly separate — and remember to append the proper modifier to the E/M code. Read on to find out how to spot potential E/M services in your fracture care encounter notes. E/M Typically Precedes Fracture Care When a patient presents with a fracture, the physician almost always will perform a separate E/M service before treating the injury, explains Sharon Richardson, RN, coder in San...

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