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Posted By Roach, on 12-12-2006, 18:30:00 in Orthopedic
Patient has been seen in the ER once a week for the past month for a dislocated total hip. Can we bill a consult everytime we're called for this or do we bill just the 27266?
Thanks again!
Comments (4)
Posted By Jacqui on 12-13-2006, 01:54:00
Hi Tammy, If no precipitating events/injuries occurred and the dislocation had to be manipulated, we would bill subsequent dislocations as 27265 or 66 w/modifier 78 and no E/M. Usually when these occur, the patient is considered a candidate for total hip revision and if done within the global of one of the dislocations, code 27134,37 or 38 w/modifier 58. If, however, the patient was established and there was a new event/injury with one of these dislocations, e.g. patient slipped, fell and dislocated the prosthesis, we would bill established E/M w/modifier 57 and 27265 or 66 w/modifier 79. Hope this helps, Jacqui
Posted By Roach, on 12-12-2006, 19:23:00
Our doctor has to "put it back in place" everytime, and each time is a new dislocation, new injury if you can call it that. The hip just "pops" out of place.
Posted By Jacqui on 12-12-2006, 19:18:00
Original Message----- From: bounce-1405459-34512@codelist.net [mailto:bounce-1405459-34512@codelist.net]On Behalf Of tammy ligon Sent: Tuesday, December 12, 2006 11:29 AM To: Orthopedic Coding Discussion Subject: [ortho] Dislocation of Total hip Msg ID: 722073 ========================= Patient has been seen in the ER once a week for the past month for a dislocated total hip. Can we bill a consult everytime we're called for this or do we bill just the 27266? Thanks again!
Posted By Cheryl on 12-12-2006, 19:09:00
If you are assuming care, then a consult would not be appropriate. Is this a new dislocation every time the patient comes back to the ER, or is this just follow-up? If just a follow-up, then just bill a 99212-99215.
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