• About Us
• Office Information
  • Locations
  • About Your Visit
  • Explanation of Fracture Billing
  • Medical Forms
• Patient Education
• Patient Testimonials
• News & Events
• Research & Education
• Useful Links

Print this Page

Office Information: Explanation of Fracture Billing

Your insurance company requires that we bill our services using a coding system known as CPT (current Procedural Terminology). The codes used to describe the services we did for you are found in the "surgery" section of the CPT code book. This does not mean we are implying that you had an operation. This is merely the way the CPT book is organized for ease of use by both your insurance company and physicians.

According to CPT guidelines, fracture care is billed as a "packaged or global" service. This means that at the time of initial care, a bill is generated that includes:

1. The first cast or splint application
2. Usually 90 days of normal, uncomplicated follow-up care. (This may vary with different insurance companies/policies).

What is not included in the package. (There will be a separate charge):

1. Physician evaluation of the fracture
2. X-rays
3. All casting supplies (fiberglass, gortex, ace wraps, slings, cast shoes, etc).
4. Any replacement cast application
5. The evaluation and management of any additional problems or injuries.
6. The treatment of complications.

If you have any questions about fracture billing, please contact our office.