MSP BillBudBilling a lateral malleolus fracture with a splint (01851)
The scenario
Lateral malleolus fracture, no reduction needed. Splinted with a below-knee backslab. Weekend day shift.
How to bill it
01851 fibula/malleolus fracture $93.40 + 51019 below knee splint at 50% = $11.88, total $105.28. The splint is the lesser fee, so the 50% rule halves it. The 01851 REPLACES the level code (cannot bill both). Weekend L2 ($123.02) would actually exceed 01851, but only if documentation supports L2 complexity. If straightforward, 01851 is the correct code.What to watch for
Does this get a level code or a fracture code? Can you add a splint?
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