Session Objectives:

Participants will be able:

• To learn ICD-10 issues relating to fracture care treatment.
• To learn how to recognize different types of fracture treatments in the op-note and how to code them.
• To understand the difference between open fractures and open treatment, and between closed fractures and closed treatment.
• To know what is percutaneous fixation and what should the documentation say.
• To know and understand itemized billing method and global fracture care reporting
• To understand when and how to use correct modifiers
• To understand Issues related to E/M reporting with a global fracture CPT code.
• NCCI rules for coding the reduction of multiple contiguous fractures
• To understand different confusing issues relating to fracture treatment, such as when the patient first presents in the ER, or when postop follow-up care is done by a separate provider etc.

Session Agenda:

• ICD-10 Issues
• What is ‘initial encounter’
• ICD-10 issues for Fx Care
• Types of fracture treatment
  • Open treatment definition
  • Percutaneous treatment definition
  • Closed treatment definition
• CPT coding of Closed treatment without reduction
• Closed Treatment with reduction
• Presentation vs. treatment
• Global fracture care and it’s CPT Codes
• Itemized billing method
• Global fracture care vs. Itemized Billing method
• Use of Modifiers
• CPT guidelines
• Coding scenarios
• EM and fracture care
• Q&A Session