This guide provides rules for reporting fracture care services using CPT® and Medicare guidelines. It details the coding distinctions for closed, percutaneous, and open treatment of fractures, clarifies how casting, splinting, and strapping services are treated within the global surgical package, and addresses the correct use of selected modifiers and radiology and supply codes. The structure follows the clinical approach to fracture management, then addresses surgical package definitions and global period assignment and payer-specific requirements, with references to CPT® guidelines and Medicare conventions. Each section distills source guidance to support accurate, non-duplicative coding for common fracture care services and scenarios.

Where services are described as billable or reportable within this document, it is assumed that appropriate medical necessity is met and that supporting documentation is present.

Table of Contents

• Fracture and Dislocation CPT® Codes and Treatment Methods
• Surgical Periods and Global Days
• What’s Included in Fracture (or Dislocation) Treatment?
• Closed Treatment Without Manipulation Reporting Methods: Itemized or Global
• Impact of Medicare’s National Correct Coding Initiative on Fracture Billing
• Documenting Fracture Care in the Office / Urgent Care / ER
• Other Services Frequently Used With Fracture / Dislocation Treatment