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Coding for casts and splints

In the emergency Department of a hospital a patient arrives and is diagnosed with a fracture. The private ortho surgeon, sees the patient, reduces the fracture and a cast is applied.We are coding for...

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Re: Coding for casts and splints

You'll code for the visit.

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Re: Coding for casts and splints

Per CPT Assistant (I don't have the actual reference in front of me but can post it at a later time):If a physician applies a cast/splint for a fracture with the intention of not assuming follow up...

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Re: Coding for casts and splints

You are correct, however, in this scenario, the orthopedic provider applied the cast, not the ED provider.If the ED provider applied the cast, I would code the visit as fracture care with modifier...

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Re: Coding for casts and splints

If coding for the hospital, and not the physician, you would code for the what was done, regardless of who performed it. The ortho physician applied the cast and expected the patient to follow up with...

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Re: Coding for casts and splints

Here is how we do it at our facility. I am the ER coder for our facility. I also assign the E/M level and also input that level in the charge system. When it comes to procedures, I will put the CPT...

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Re: Coding for casts and splints

I wouldn't want your job...coding for both the facility and doc at the same time (sounds like a 784.0 to me! )What you described is how I would code the cases as well. The sticky situation with the...

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