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Thread: Physician Assistants and fracture care

  1. #1

    Cool Physician Assistants and fracture care

    AAPC: Back to School
    I am wondering if anyone has received denials when a physician assistant performs and bills for a fracture. (She is working under the supervision of the Orthopaedic surgeon, but we are billing under the PA). Specifically we received a denial from Medicare for code 23505 Closed clavicle fracture w/manipulation. The denial states that the PA is not credentialed to perform the procedure?

  2. #2
    Join Date
    Apr 2007
    North Carolina


    The scope of practice can vary from state to state for PA's and NP's. Sounds like a silly question but is your PA credentialed with Medicare?

  3. #3


    I didn't have a problem with my PA getting paid by medicare with fx care billing, but he was credentialed with medicare.

  4. #4


    Yes, all of our PA's are credentialed through Medicare...I'll have to do some more investigative work I guess. This is the first denial we received like that. Maybe it is just specific to that code...
    Thanks for responding!

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