Orthopedics means 90-day global periods, laterality modifiers, implants and workers’ comp - a coding minefield. We navigate it so every procedure pays in full.
The specialty-specific billing traps we fix every day for orthopedics practices.
Post-op visits bundled into the global package - unless modifiers 24, 25, 58, 78 or 79 apply. We catch every separately billable service.
LT, RT and bilateral billing errors are orthopedics’ most common denial. Our edits verify laterality on every claim.
Implants, braces and bone stimulators each bill differently. We separate surgical, implant and DME revenue streams cleanly.
Ortho carries heavy comp and PI volume with separate rules and fee schedules. We run dedicated workflows for each.
A sample of the orthopedics codes where small errors cost real money.
| Code | What it covers | Where practices lose money |
|---|---|---|
| 27447 | Total knee arthroplasty | Global period mismanagement; assistant-surgeon modifiers missed. |
| 29881 | Knee arthroscopy with meniscectomy | Bundling edits with related procedures not resolved. |
| 20610 | Major joint injection | Laterality omitted - instant denial on bilateral claims. |
| L1833 | Knee orthosis | DME vs. surgical billing confusion; LCD criteria missed. |
The same proven process behind every orthopedics engagement.
Send one billing export. We map denials, AR aging and underpayments - free.
You get a prioritized action plan with projected recoveries before you commit.
Denials appealed, AR worked, workflows fixed - inside your systems.
Transparent reporting. You pay 5%% of what we collect - nothing else.
Straight answers for orthopedics practices.
Send one billing export. We'll show you the leaks, the stuck AR and the denials worth fighting - before you spend a dollar.