Nonoperative Fracture Coding Calculator | PhysicianCodingGuide.com

Closed-treatment codes only; excludes open/ORIF, spine, sternum, and rib. Values from the 2026 CMS National Physician Fee Schedule.

Step 1

Select fracture code(s)

Filter by type and region, or pick a specific code. Selections combine.

Treatment type

Body region

Step 2

Initial visit

New or established patient?

E/M level documented?

Document and code a separate E/M at this visit?

Step 3

Follow-up visits

The fracture-code strategy bundles all follow-ups within 90 days. E/M-only codes each visit on its own.

E/M level at follow-ups?

99214: imaging review and management. 99213: straightforward follow-up.

Follow-up visits planned?

Typical: 2w, 6w, 12w = 3 visits.

Include G2211 complexity add-on? (+0.33 wRVU per visit, all but the last)

E/M-only strategy only. The Medicare restriction attaches to the visit, not the procedure: G2211 is not paid when the office visit carries modifier 25 for a same day minor procedure.

Step 4

Cast and splint codes

E/M-only codes these separately; the 90-day fracture global bundles them. Walking boots are DME.

Immobilization at initial visit?

Cast work at follow-ups?

Educational reference only. wRVU values follow the 2026 CMS National Physician Fee Schedule and change annually. Every coding decision must reflect complete, accurate, contemporaneous documentation. Code what you did, never what the wRVU suggests. Check with your compliance team for specifics.

Educational tool. wRVU values reflect the current Medicare Physician Fee Schedule and change annually. Verify against official sources before relying on them for coding decisions.