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Physician Assistants and fracture care

  1. Cool Physician Assistants and fracture care
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    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
    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. Default
    I didn't have a problem with my PA getting paid by medicare with fx care billing, but he was credentialed with medicare.

  4. Smile
    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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