casting

  1. K

    Wiki 29086 in therapy setting?

    A therapist in my office recently heard that she could charge 29086 for serial casting that they are applying. We have been testing it out with several payers and have received one payment (Blue Care Network) but the rest of them are denying as " this provider type/provider specialty may not...
  2. R

    Wiki Ponseti Casting With Tenotomy

    Good morning! I have a provider performing serial casting for clubfoot correction. We bill 29450 for the casting for multiple visits, and on the final visit the patient is treated with an Achilles tenotomy, 27605, and then the final cast is applied. I was hoping for guidance on the final...
  3. J

    Wiki Can a Ridge leg cast be applied during Global period? if so what would be the appropriate modifier? or is the casting included in the postop/ global.

    Hello, I need some help. Pt had surgery this month and still within the global period, provided applies a Ridge leg cast on the sx site And toenail debridement noted for the RT foot. Would a modifier be needed for the ridge leg cast? Or is that casting within the global? He document a new total...
  4. A

    Wiki Billing Q codes with multiple units

    What are the maximum amount of units payable for Q codes (example: Q4045) by insurance companies? When my doctor puts a splint on a patient, our billing department is trying to bill multiple units of supply Q codes to one splint application code for reimbursement. For example: Dr. places a...
  5. M

    Wiki Fracture Care followup specifics

    I've clashed w/my boss on the specifics of whether or not followup X-rays are included in the followup 90 day global for this radius w/ulnar fracture w/closed treatment, I'm using code 25560, no manipulation, with casting. Need to know if the followup x-rays can be billed separately (please...
  6. N

    Wiki Application of casts and strapping

    We have a situation that has created quite a debate in our office that we could use some advice on. Here's the scenario: a patient presents to the clinic with a fracture. The physician evaluates the patient and stabilizes the fracture with casting or splinting prior to surgery at a local...
  7. P

    Wiki Q4050 & L-codes!

    Hello, Our clinic has been having extreme difficulties getting Q4050 (waterproof) paid for any carrier (mainly medicaid plans). The clinic is in Arizona and so the waterproof is almost always a necessity because of the climate. Does anyone have any suggestions on what we can add for medical...
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