My specialty is definitely not orthopedics! I took my daughter to her PCP because she fell on her RT elbow. She rec'd an xray and was placed in a splint. The PCP stated she thought there was a fracture in the growth plate of the RT elbow. Doc sent the xray out to be read for another opinion. She was sent to a children's ortho for further evaluation. After reviewing xrays (new and old) the ortho stated that it was very probable there was a fracture. He recommended casting or splinting. After discussion with the doc, we both decided it would be best for her to receive the cast as she is very active on our farm. She was casted from the bicep to the knuckles. After receiving a rather large bill, I investigated a bit. I was charged a 99213, 73030, 29065, and A4590. The part that "flipped me out" is that the ICD-9 codes billed were 923.00 and 923.11 which are contustion of the elbow and contusion of the shoulder. I read the guidelines for the casting code of 29065 and I am confused. Can anyone tell me if these codes are appropriate for her situation? Also, anyone with ortho experience, is it common to charge so highly and cast for a contusion???? Thanks in advance for any input.