tci Part B Insider - 2014 Issue 21

Part B Mythbuster: Stabilization Doesn't Always Equal Fracture Care

Plus: Don’t forget to bill supply codes to Medicare. A patient reports to your practice with a broken bone. The physician treats her and sends her home. This is automatically a fracture care claim ... right? Wrong: Even if the physician confirms a fracture, this does not guarantee you can choose a fracture care code. When examining a claim, the coder should ask this question: Did the physician treat the patient’s fracture, or did he just make the patient more comfortable? If he just makes the patient comfortable, then you cannot code fracture care. Example: The physician treats...

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