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.

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