tci Part B Insider - 2005 Issue 7

Fracture Care Coding: Choose One Fracture Billing Technique And Stick To It

Can you explain your doctor's fracture care  decisions to auditors? Flexibility is good, but not when it comes to fracture care, experts say. CPT gives you two different choices when billing for fracture care. You can bill for a global fracture care code, which includes cast application, an evaluation and management visit, and all follow-up visits for 90 days. Or you can bill on an itemized basis for everything relating to cast application. The reimbursement usually works out to be roughly the same for global fracture care codes as for itemized billing, coding experts say. (See PBI, Vol...

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