Choose the fracture and the treatment. Get the code, the wRVU, and the modifier 57 logic.
Closed treatment codes only; excludes open treatment, spine, sternum, and rib.
1. Fracture code
Filter by treatment and region, or pick one code.
Treatment
Region
2. Initial visit
Modifier 57 goes on the E/M when you code both on the same day.
Patient
E/M level
Separate E/M this visit
3. Follow-up visits
The fracture code includes 90 days of follow up. Coding by E/M instead codes each visit.
Follow-up E/M level
Follow-up visits
G2211 add-on
4. Cast and splint codes
Coded separately under E/M only; bundled in the 90 day fracture global. Walking boots are DME.
Initial visit
Follow-ups
From my own practice
The pattern I run into is the emergency department billing definitive fracture care for a wrist or an ankle that they splinted and referred on. A fracture care code carries a 90 day global and is meant to cover the restorative treatment and the follow up that goes with it, and that care is provided by orthopaedic surgery: we are the ones seeing the patient through those 90 days. The honest way to bill the emergency visit is the splint application code with the visit.
Data source: CMS Physician Fee Schedule 2026; last reviewed August 2026.
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.