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Casting supplies and coding

  1. Default Casting supplies and coding
    Medical Coding Books
    Hello everyone,
    I am new to coding for orthopedics and I was curious on how to code for casting and the supplies? So example a patient broke their arm and needed a cast, we would do a fracture care code and everything is included in that code for that first visit except the supplies? Does Medicare cover casting supplies and what codes do we use the A or Q set of codes? Any other follow ups and needed a new cast we would code for the application and the supplies?
    Any insight on this is appreciated. Thank you all for your time.
    One other thing since most insurance will not pay for waterproof how much to you charge to get a waterproof cast that the patient pay out of pocket?

    Thanks,

    Krystal
    Krystal Prass, CPC-A

  2. #2
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    Tacoma, WA
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    Default
    Quote Originally Posted by krystalcamren@yahoo.com View Post
    Hello everyone,
    I am new to coding for orthopedics and I was curious on how to code for casting and the supplies? So example a patient broke their arm and needed a cast, we would do a fracture care code and everything is included in that code for that first visit except the supplies? Does Medicare cover casting supplies and what codes do we use the A or Q set of codes? Any other follow ups and needed a new cast we would code for the application and the supplies?
    Any insight on this is appreciated. Thank you all for your time.
    One other thing since most insurance will not pay for waterproof how much to you charge to get a waterproof cast that the patient pay out of pocket?

    Thanks,

    Krystal
    I would suggest you post this question on the orthopedics forum thread, you will get better response from the specialists in that arena. Also, don't ask how much people charge, we cannot share that information as that can be considered price fixing by the federal government. You would need to determine the cost of the materials and time in creating the cast, your providers or office manager should be able to help facilitate that process.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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