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Help with casting

  1. #1
    Question Help with casting
    Medical Coding Books
    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
    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
    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
    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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