Why do some situations dictate separate billing but others treat cast application as an included procedure?
If applied as a part of a fracture repair, you do not code
application service separately. Application and removal a bundled
into the fracture repair codes. If subsequent cast, strapping, or
splint is applied within follow-up period, you can bill by coding
application as well as materials and adding modifier -58. Separate
office visits can be billed only if the patient is provided some
other separate and significant service while not in the global
period in addition to application of the item. Add modifier -25 for
this
When the physician applies initial cast, strapping, or splint for
stabilization prior to definitive treatment by another provider,
applies subsequent cast, strapping or splint, treats sprain, and
does not expect o provide any other type of restorative
treatment.
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