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Thread: Help with casting

  1. #1
    Join Date
    Apr 2007

    Question Help with casting

    AAPC: Back to School
    One of my physicians applied a cast for a broken arm. We are still in the global period for that care, but the patient broke the cast and came in and seen a different doctor here in the office to have another cast put back on. Is this global or can I bill for the casting again?

  2. #2
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    Replacement cast applications may billed along with supplies. It is helpful to append modifier 58 to the application as it is a planned or staged procedure during a post operative period. This generally happens on scheduled followup visits. The situation of the patient breaking the cast, however, adds a new twist. If the patient broke the cast due to negligence, he/she may need to be responsible for a new one. I recently had a carrier deny a re-application because at the bottom of the superbill was a tiny little note that said. "The pt's dog bit a hole in cast." ...Just something to consider.

  3. #3
    Join Date
    Apr 2007

    Thumbs up casting

    its not under the global period, because reapply by another group of dr so coded separetly with appropriate DOS.
    Dr.Jeevanantham Mariappan PT.,MD (A.M).,CPC.,
    Six Sigma - GB

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Same group - different doctor

    Quote Originally Posted by jeevapt_09 View Post
    its not under the global period, because reapply by another group of dr so coded separetly with appropriate DOS.
    Actually, the way I read the post, this is the same group, but a different doctor. For billing purposes all physicians of the same specialty in the same practice are considered the same doctor.

    Nevertheless ... recasting can be coded during the global period.

    F Tessa Bartels, CPC, CEMC

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