tci Medicare Compliance & Reimbursement - 2010 Issue 23

HCPCS Coding: Don't Forget About Q Codes With Your Casting Claims

Think Q4050 is out of your reach? Think again. If you aren't billing Q codes to Medicare for your casting supplies, you could be missing out on up to $50 per claim. Suppose a practitioner in your office applies the cast to a patient's fractured limb. You report the CPT code, and you're all set, right? Not so fast. You'll be writing off significant reimbursement without also reporting the appropriate casting code from the 29000--"29086 (body and upper extremity) or 29305--29450 (lower extremity) series, based on the cast's location and other specifics. Depending on payer preference, choose the supply...

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