Fracture Codes, Strapping and Splint Application Codes, S9088 Code

Q. When is it appropriate to use fracture codes without manipulation? If a patient comes in with pain in a finger after a fall and an evaluation and management is performed, x-rays are taken to confirm a fracture, the finger is splinted, and the patient is referred to an orthopedist, would that treatment constitute billing for fracture care? If not, what must we do to be able to bill these? A. CPT suggests that only …

Read More

Of Discounts, Surgical Wound Dressing, and the S9088 Code

DAVID STERN, MD (Practice Velocity) Q.For uninsured patients, how much discount should be given—70% off charges? Particularly in California. A.It would be extremely rare to offer such a big discount to self-pay patients. It would be unadvisable for the following reasons: Unless your fee schedule is ridiculously high, you could not operate profitably at these Discounts should be given not for being self-pay, specif- ically, but for paying in full at time of You will …

Read More