HCPCS codes include temporary codes developed by CMS. Sometimes, the temporary codes stick around for a while.
There are HCPCS codes for the provision of cast supplies to Medicare patients. A physician office may always be paid for the cost of the casting materials, whether billing global fracture care of E/M services. If the group is charging for fracture care, using the Ortho fracture care codes, then do not bill for the application of the cast.
The cast supply codes are Q codes, ranging from G4001 through G4051. These codes are found in the HCPCS book. They are divided by the location of the injury (arm, head, leg, ankle), the type of material used (fiberglass, plaster) and the age of the patient (child or adult). Physician offices who apply casts should keep an updated list of these codes available to them.
Medicare and many third party insurers do not pay separately for most supplies used in treating the patient in the physician office. This is because the cost of the supply is factored into the practice expense Relative Value Unit of the code, and so CMS has already paid you for it. Casting supplies is one set of supply that is reimbursed separately. Be sure to bill for it.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
Be sure and check out this discussion with LaMont Leavitt (CEO of innoviHealth) and Christine Taxin (Adjunct professor at New York University, President of Dental Medical Billing, and Links2Success).
Some of the resources and tools they discuss will help you with your dental coding/billing and education.
Do You Have All the Right ...
The American Medical Association (AMA) recently announced the addition of two more CPT codes in relation to COVID and the Public Health Emergency (PHE). Codes 99702 and 86413 were posted to the AMA website on Tuesday, September 8, 2020 and new guidelines have been added as well.
Every healthcare office needs to know and understand the rules that apply to billing services and supplies. What lessons can we learn from the mistakes of others? What if we have made the same mistake?
Discussion between innoviHealth CEO, LaMont Leavitt and Guest speaker, Christine Taxin who is an Adjunct professor at New York University, and President of Dental Medical Billing and Links2Success about making sure you have all the right Dental resources needed to succeed in Dental Medical Billing and Coding.
The COVID-19 public health emergency (PHE) has created some possible problems when it comes to risk adjustment. Be sure your organization has implemented policies and procedures to try and overcome these new hurdles.
My colleagues and I are nerds for information on all things billable—or not billable—in the worlds of dental and medical insurance. One of the most puzzling challenges for me over the past 15 years of teaching has been to understand why we on the dental side are segregated out of ...