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Workbook: Fracture Care for Foot and Ankle
Workbook: Fracture Care for Foot and Ankle
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Pdf Summary
The document discusses various coding guidelines and considerations for fracture care and in-office procedures for the foot and ankle. It includes information on fracture definitions per CPT, restorative treatment, global fracture care, itemized vs. global reporting for non-displaced fractures, percutaneous treatment, external fixation, hardware removal, debridement and wound care management, joint injection/aspiration, radiology reporting, and foreign body removal.<br /><br />Some key points from the document include:<br />- Closed treatments for fractures involve the use of casts, splints, or strapping to stabilize the fracture without manipulation. Restorative treatment, on the other hand, involves the use of manually applied forces to achieve alignment of the fracture.<br />- Itemized billing and global billing are two options for reporting fracture services when a fracture is not manipulated. Itemized billing involves reporting each individual service provided during the healing period, while global billing includes all related services within a 90-day global period.<br />- When reporting in-office procedures involving X-rays, it is important to document the specific views and findings accurately and to include a signed radiology report.<br />- Joint injection codes vary based on the size and location of the joint, and the use of ultrasound guidance may be included in some codes.<br />- It is necessary to differentiate between implants and foreign bodies when reporting removal procedures, as implants are deliberately placed by a healthcare professional, while foreign bodies are unintentionally placed or become hazardous.<br />- Ultrasound guidance is typically included in joint injection codes, but separate reporting may be required for other imaging guidance, such as fluoroscopy or MRI.<br /><br />Overall, the document provides valuable information on coding and billing considerations for surgical procedures and treatments involving fractures, in-office procedures, radiology, and injections.
Keywords
coding guidelines
fracture care
in-office procedures
foot and ankle
global fracture care
itemized billing
joint injection
radiology reporting
foreign body removal
ultrasound guidance
American Orthopaedic Foot & Ankle Society
®
Orthopaedic Foot & Ankle Foundation
9400 W. Higgins Road, Suite 220, Rosemont, IL 60018
800-235-4855 or +1-847-698-4654 (outside US)
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