The Complex World of Orthopedic Billing
From managing hectic schedules to navigating complex orthopedic coding guidelines, you often struggle to maintain a balance between the two. What if, despite providing top-notch fracture care, your claims are denied due to coding errors?
The frustration can be overwhelming. But there is a solution that can resolve this problem: mastering billing codes for different fracture repair procedures.
Did you know that orthopedic physicians experience one of the highest claim denial rates (18%) in healthcare? This statistic, reported by MedScape’s “Physician Compensation Report 2020”, highlights the critical need for precise and compliant coding practices.
In this article, we will understand the vital fracture repair billing codes and offer a top-notch solution that can be a game-changer for your practice.
Why Accurate Fracture Care Coding Matters?
Common Fracture Care Treatment Methods and CPT Codes
1. Closed Treatment Without Manipulation:
Common CPT Codes:
- 21310 – Closed treatment of a nasal bone fracture without manipulation.
- 28510 – Closed treatment of a metatarsal fracture without manipulation.
- 25600 – Closed treatment of a distal radial fracture without manipulation.
2. Closed Treatment with Manipulation:
Common CPT Codes:
- 25605 – Closed treatment of a distal radial fracture with manipulation.
- 28470 – Closed treatment of a metatarsal fracture with manipulation.
- 21315 – Closed treatment of a nasal bone fracture with manipulation.
3. Open Reduction with Internal Fixation (ORIF):
Common CPT Codes:
- 25607 – Open treatment of a distal radial fracture with internal fixation.
- 27236 – Open treatment of a femoral fracture with internal fixation.
- 24546 – Open treatment of a humeral shaft fracture with internal fixation.
4. Percutaneous Fixation:
Common CPT Codes:
- 25606 – Percutaneous skeletal fixation of a distal radial fracture.
- 27235 – Percutaneous skeletal fixation of a femoral fracture.
- 27756 – Percutaneous skeletal fixation of a tibial fracture.
3 Tips for Accurate Coding
The Solution: Delegating Orthopedic Billing Operations to Experts
Benefits of Outsourcing Orthopedic Billing and Coding
- Expertise and Accuracy: Specialized billing companies like MBC have in-depth knowledge of orthopedic coding, ensuring high accuracy and compliance.
- Cost Efficiency: Outsourcing can lead to noticeable cost savings and a 10-15% increase in revenue.
- Streamlined Claims: MBC's expertise helps maximize revenue generation through clean claims and optimized reimbursements.
- Focus on Patient Care: By delegating billing tasks, you can focus more on patient care and less on administrative burdens.