Medical Coding for Fracture Follow-up
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When a fracture repair has been performed by the orthopedic surgeon, and the patient returns for a replacement cast, what service (if any) is reportable? o none o cast with modifier -58 appended o cast with modifier -59 appended o surgery code with modifier -22 appended
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Hi Cherrell, let's look at this medical coding question regarding fracture repair and cast replacement.
Understanding Global Surgical Packages
When an orthopedic surgeon performs a fracture repair, the service includes a global surgical package. This package covers the surgery itself and routine follow-up care for a set period.
The Global Surgical Package typically includes the initial application and subsequent removal or replacement of casts or splints during the follow-up period.
Because this service is already bundled into the original procedure, it is not separately billable when performed by the same surgeon who did the initial repair.
Since the cast replacement is part of the global package, we do not report it as an additional procedure.
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