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Fracture Care Includes a Lot, But Remember to Code Supplies Every Time

Published on Thu Apr 01, 2010

Keep this handy list to distinguish between A, L, and Q code options.Although cast application coding can vary, you have one simple rule to remember for cast and splint supplies: they are always separately billable, assuming your physician incurred the expense for supplies.When you're ready to code for cast supplies, the answers lie in HCPCS. First, make your selection based on the patient's age, type of cast/splint, and the type of cast material. Then verify which group of possible codes the payer prefers.A codes: Some workers' compensation groups prefer A codes such as A4580 (Cast supplies [e.g., plaster]) or A4590 (Special casting material [e.g., fiberglass]). Most payers do not recognize this group of codes, however, says Ruby O'Brochta- Woodward, BSN, ACS-OR, compliance and research specialist with Twin Cities Orthopedics in St. Louis Park, Minn. She recommends verifying their use before choosing an A code for casts.L codes: All L codes [...]
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