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Reader Questions: Modifiers 57/58 Describe Two Fracture Surgeries

Published in Podiatry Coding & Billing Alert, May 2010

Question: A patient presented to the emergency room and the podiatrist performed a closed reduction and manipulation for a trimalleolar ankle fracture. The closed reduction didn’t work so the DPM returned to surgery to repair the fracture the next day. How should I code both surgeries?
Montana Subscriber
Answer: You’ll need to code for three services: the initial visit and examination the first surgery, and the second surgery.
If the patient was treated in the emergency room, choose [...]


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Published in Podiatry Coding & Billing Alert, May 2010
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