![]() ORIF is performed by an orthopedic surgeon. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position.ĭespite the increasing success rate of ORIF, recovery depends on your: ORIF may also help if the bone was previously re-aligned without an incision - known as closed reduction - but didn’t heal properly. Your doctor might recommend ORIF if your bone: After the bone heals, this hardware isn’t removed. “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. “Open reduction” means a surgeon makes an incision to re-align the bone. These injuries are usually fractures that are displaced, unstable, or those that involve the joint. It’s only used for serious fractures that can’t be treated with a cast or splint. For radiology services, see 73620- 73630.Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. For percutaneous skeletal fixation of a metatarsal fracture, see 28476. For closed treatment of a metatarsal fracture, see 28470- 28475. See "Application of Casts and Strapping" in the CPT book in the Surgery Section, under the Musculoskeletal System. According to CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. External fixation, if performed, may be reported separately. Internal fixation, when performed, is included in this procedure. The wound is irrigated and closed in layers. Fixation devices are applied as needed to hold the fracture in place. The fracture fragments are reduced (realigned) to their correct position. Any tissue between the fracture pieces is removed. The tissues are dissected and debrided as needed. An incision is made overlying the particular metatarsal fracture. The physician treats a fracture of one of the five metatarsals with open surgery. The foot and leg are placed in a cast or brace.Ģ8485 (Open treatment of metatarsal fracture, includes internal fixation, when performed, each) X-rays (separately reportable) confirm desired results. The physician pushes, pulls, or other maneuvers the foot to restore the fracture fragments to a satisfactory position and alignment. X-rays (separately reported) confirm a fracture of the metatarsal bone with the bony pieces in an unacceptable position. The physician treats a fracture of one of the five metatarsal bones in the foot without performing open surgery but with manipulation of the fracture. For radiology services, see 73620- 73630.Ģ8475 (Closed treatment of metatarsal fracture with manipulation, each) ![]() For open treatment of a metatarsal fracture, see 28485. Check with the specific payer to determine coverage. Durable Medical Equipment (DME) dispensed at the time of this service may be reported with the appropriate HCPCS "E" and "L" codes. The physician places the foot, ankle, and leg in a cast, splint, or brace as needed.Īccording to CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. X-rays (separately reported) confirm a fracture of a metatarsal bone of the foot with the fracture fragments in acceptable position and alignment. ![]() The physician treats a fracture of one of the five metatarsal bones without open surgery or any manipulation of the fracture. There are three different codes that can be billed, depending on the type of fracture the patient has- each code would be billed for one unit of service with the appropriate T modifier (-T7, -T8 or -T9), below are the three CPT codes that could be billed:Ģ8470 (Closed treatment of metatarsal fracture without manipulation, each) (Fx met 3,4,5 Right foot) We are wondering what the correct way to bill the fracture management is. Correct Billing for 3 Fractures-Right Foot-MedicareĬoding question for Medicare Patient, we are treating a patient for 3 fractures. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |