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Old 02-25-2013, 06:25 PM
tldixon@mokancomm.net tldixon@mokancomm.net is offline
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Default Billing for casting and supplies

I am new at ortho coding and could use some help in the billing of casting and supplies.
If I could get my hands on some rules and regulations regarding how to bill for these....such as when I can bill for casting and supplies in a post op and when I cannot and what might get paid for by ins. companies......
Any help would be appreciated.

Thanks.
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Old 02-26-2013, 06:50 AM
pcheshier pcheshier is offline
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Smile casting

Casts applied at surgery are included in the procedure. But you can bill for any replacement casts during po. You will need to add a modifier 58 . If a cast is applied in office, then you will need to use modifier 25 on ov, if it was determined thru exam that pt needed cast, and bill the applying cast code. Hope this helps ya. You can bill the supplies with Q codes, but most insurances do not pay. You would need to send claims for supplies to Medicare DME.

Last edited by pcheshier; 02-26-2013 at 06:52 AM.
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Old 02-26-2013, 10:42 AM
tldixon@mokancomm.net tldixon@mokancomm.net is offline
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Thank you for the info....have a great day! :-)
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