Fracture care and casting conflicts
Casting billed inside fracture global denied. We apply the initial-visit rules correctly.
Home / Specialties / Orthopedic
Orthopedic medical billing services
Orthopedic billing covers surgery with global periods, fracture care, injections, DME, imaging and physical therapy, often in one practice. Fracture care coding, casting and supply billing, and the bundling rules on arthroscopy are where orthopedic practices leak revenue.
What makes orthopedic billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether orthopedic claims pay the first time.
- Fracture care codes include the global period; casting and strapping (29000–29590) are separately billable at the initial visit only in specific circumstances.
- Arthroscopy codes bundle extensively; additional procedures in the same compartment are frequently denied.
- Injections (20610, 20611) with ultrasound guidance and viscosupplementation need authorization, J-codes and units.
- DME supplied in-office — braces, boots — requires HCPCS codes, supplier enrollment and documentation of medical necessity.
Denials we see most in orthopedic
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Arthroscopy bundling
Same-compartment procedures denied. NCCI edits applied.
DME documentation
Braces denied for missing necessity or enrollment. We manage supplier requirements.
How Core MB bills for orthopedic
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new orthopedic providers runs in the same system, tracked live in your client portal.
- Fracture care and global period management.
- Arthroscopy and surgical coding with NCCI edits.
- DME and injection billing with authorization, codes and documentation.
Everything in the service
The full revenue cycle as standard for orthopedic practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Orthopedic billing questions
How is fracture care billed?
With fracture care codes that include a global period. Initial casting may be separately billable in specific situations; subsequent cast changes have their own rules.
Why are arthroscopy claims denied?
Bundling. Many procedures in the same compartment are included in the primary code. We code from the operative report under current edits.
Can you bill braces and boots dispensed in the office?
Yes, with the right HCPCS codes, supplier enrollment and medical-necessity documentation.
How do we get started with Core MB for orthopedic billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new orthopedic providers can start at the same time.
More in surgical and procedural
Find out what your orthopedic billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.