Results 1 to 5 of 5

Cast re-applications

  1. #1
    North Carolina
    Default Cast re-applications
    Exam Training Packages
    We have received some denials pertaining to our cast re-applications. These denials are coming from NC BCBS State Plan. They are bundling them into the global period. We have not had any problems with the other BCBS plans. I have made an inquiry to medical review and hope to receive an answer soon. In the meantime, has anyone else experienced this issue? We are not trying to bill an office visit in addition to the re-application and the fracture care care was performed on a previous date. We are using modifier 58, also. Someone has eluded that there are different guidelines for the State Plan. Does anyone know what these might be?


  2. #2
    What code is being denied? The supply code or the casting code? I know that state/medicaid plans want the Q codes instead of the A codes for the casting supplies. Is it that?

  3. #3
    Greeley, Colorado
    You shouldn't need modifier -58 with the casting codes by their definition. You just can't code the casting at the time of the fracture care itself.

  4. #4
    North Carolina
    Although this may be politically correct, modifier 58 becomes carrier specific (at least for our area). See page 11~

    Regarding the State Plan, I have been notified by the medical review coordinator that the State Plan does bundle cast re-applications into the surgical procedure; unlike the other plans.

    Thanks for your input.
    Last edited by RebeccaWoodward*; 03-18-2008 at 05:00 PM. Reason: spelling

  5. #5
    Greeley, Colorado
    Very interesting. Thank you for that information!

Similar Threads

  1. Splint Applications
    By Lisa77 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-13-2015, 09:43 AM
  2. Splint applications
    By henrya in forum Critical Access Hospitals (CAH)
    Replies: 1
    Last Post: 07-20-2013, 02:03 PM
  3. Splint Applications-primary care physician
    By britbrit852003 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-06-2013, 01:09 PM
  4. Practical Applications
    By karenknight in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-29-2011, 09:27 AM
  5. Cast boot part of walking cast?
    By terridiaz in forum Orthopaedics
    Replies: 5
    Last Post: 06-10-2010, 08:42 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.