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Casting Application During Global Period

  1. #1
    Default Casting Application During Global Period
    Medical Coding Books
    Need clarfication
    When a patient is treated for a fracture. How many casting applications does that include? I was told it only covered the initial casting and that you can bill for any subsequent casts during the post op period with the appropriate modifier. Is this correct?
    Secondly: Is there a resourceful website (besides the AAPC) that I can reference to when these kind of questions arise. I know the CMMS and NCI sites are helpful but sometimes not always clear or easy to navigate through.
    Thank you for your help, it is much appreciated!
    Be Blessed!
    Zaida D. McGarry, CPC

  2. #2
    North Carolina
    Re-application of cast requires modifier 58; for our region, anyway.

    The allowance for reduction of a fracture includes an allowance for the application of the first cast or traction device. Therefore, castings put on at the time of surgery are included in the surgical procedure's fee schedule allowance, which also includes cast removal. Subsequent castings may
    be allowed separately. A casting is considered "subsequent" any time after the date of the surgery.
    Rebecca CPC, CPMA, CEMC

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  3. #3
    Thank you so much for your quick reply. This is exactly what I needed
    Be Blessed!
    Zaida D. McGarry, CPC

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