Breaking it Down - Fracture Care In CPT

There are estimated between 10-20 million fractures reported every year in the United States. Most people will at some point in their lifetimes suffer a fracture, which means we are coding fractures and treatments for them multiple times on a daily basis. Can I report debridement with the fracture? When is it no longer considered “initial” encounter? Can I report splinting and fracture care in the same encounter? Can I report and E/M with the fracture care in same encounter? In this session we are discussing these and other commonly asked questions as we share the top 3 things to remember when reporting fracture care in CPT (and some ICD-10-CM).
Topics include:
- CPT codes for Reporting Fracture Care;
- Regulatory Guidance including Coverage Decisions and NCCI edits
- Documentation Requirements for ensuring Medical Necessity
and more.
Attend this session to learn to:
- Utilize learned information to make accurate decisions regarding coding for fracture care
- Apply rules for selecting the diagnosis and achieving medical necessity for reported services
- Describe key CMS rules and regulations specific to fracture care and apply this knowledge in their own providers claims.
This course authored by Paula Digby and Heather Bryans.