Payers, particularly Medicare, now place limits on the number of contiguous fracture and dislocation treatments that can be billed during the same encounter. Meanwhile, on the diagnosis coding side, questions remain about reporting 7th characters for active treatment and follow-up care and differentiating between chronic and acute injuries, among other details. This session by expert speaker Margie Scalley Vaught will navigate through the specific requirements of fracture coding and also give you the supporting information from official sources (CMS/AAOS/CPT) to get those claims paid and paid appropriately. Margie will also help you go over the new CCI guidelines related to closed treatment without manipulation fractures. 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 and much more