tci Part B Insider - 2007 Issue 19

PART B MYTHBUSTERS: You Can Only Bill Fracture Code Once

Don't attract carrier scrutiny with the wrong diagnosis codeMyth: A patient with a bone fracture still has the fracture until it's healed. So you should keep using the fracture-care code on your claims for every visit after your doctor sets the fracture.Reality: You should use the fracture diagnosis only once. For every visit after the initial fracture care, you should use a post-fracture diagnosis from the V54.xx series.  -The patient shouldn't still have the fracture, but should be in the process of healing,- explains Susan Posten, coder at the Houston Center for Spinal Reconstruction and...

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