Orthopedic claims demand mastery of global surgery periods (CPT 20000 series), physical therapy caps, and DME modifier requirements to secure payouts.
Joint repairs and ligament surgeries have 90-day global periods. We audit post-operative E/M modifiers (-58, -78, -79) to ensure clean claims.
Billing for braces, crutches, and orthotics requires precise HCPCS coding, modifier attachment, and patient proof-of-delivery checks.
We monitor therapy caps limits and KX modifier criteria for post-surgical physical and occupational rehabilitation codes.
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