Results 1 to 3 of 3

Help, My cast is too tight!

  1. #1
    Thumbs down Help, My cast is too tight!
    Medical Coding Books
    New to Orthopedic coding here. Patient returns within week of having short arm cast applied. Patient having pain in arm. Doc removes cast, xrays arm and reapplies cast. Doc wants to bill office visit, cast removal, xray and reapplication of cast. I don't think he can do that. HELP!

  2. #2
    Duluth, Minnesota
    if your doc placed the cast the first time (initial fracture treatment) - he cannot charge an E/M (patient within global) - or cast removal (these codes are used only for casts applied by another physician) -

    he can however charge a cast application code & Qcode supply for the re-casting. Might need a modifier (.58) on the procedure - some insurances want it others don't - at my old facility we had to use it when we re-casted/splint within global - but here at the new facility, apparently their carriers don't want/request it.

    again, this is based on the fact that your doc provided the initial fracture treatment.

    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  3. Default cast application
    I agree with the charge for cast application and supply code, but don't forget to charge for the x-ray as appropriate- global, modifier 26 or TC!

    Karen S.

Similar Threads

  1. fiberglass cast
    By newfiegirl in forum Orthopaedics
    Replies: 1
    Last Post: 11-11-2015, 11:00 AM
  2. Arthrex Twin Tail AC Tight Rope Procedure
    By mcreed in forum Orthopaedics
    Replies: 0
    Last Post: 11-08-2010, 10:57 AM
  3. Cast boot part of walking cast?
    By terridiaz in forum Orthopaedics
    Replies: 5
    Last Post: 06-10-2010, 08:42 AM
  4. Tight rope procedure?
    By BFAITHFUL in forum Podiatry
    Replies: 0
    Last Post: 10-07-2009, 08:31 AM
  5. Tight Heel Cord
    By ercoder65 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 09-16-2009, 10:19 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.