Can you bill medicare with a 99203 and a fracture code with no modifier for EM code I have always been paid for this without modifier but for a followup vist if patient presented with differnet problem used a modifier 24. I was told by a Medicare rep. years ago that for a new visit no modifier needed for new office visit.
If you are reporting an E/M code with global fracture care code (ie 25500), then you would need to append a 25 or 57 modifier to the E/M code. Whether you use the 25 or 57 is a payer preference. Most prefer the 57. If you are getting paid without the modifier, then great. No harm done.