Specialty Billing

Orthopedic Medical Billing Services

Orthopedic billing means global surgical periods, fracture care, injections, DME, and modifier-heavy claims. MedTaskly's ortho billers manage the global package and every add-on so your surgical revenue is fully captured.

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Quick Answer

What makes orthopedic billing complex?

Orthopedics combines surgery with global periods, fracture care coding, joint injections, and durable medical equipment, all requiring precise modifiers (58, 59, 78, 79) and global-package rules. Mismanaging the global period or modifiers is a leading cause of lost orthopedic revenue.

Why It Matters

Orthopedic practices lose revenue inside the global surgical package

Global periods and modifiers decide what gets paid.

Orthopedic billing revolves around the global surgical package. Each procedure carries a global period of 0, 10, or 90 days during which related visits are bundled, but unrelated care, staged procedures, and complications are separately billable with the right modifiers. Miss a modifier and legitimate revenue is written off; misuse one and you invite audits.

Fracture care coding with and without manipulation, joint and trigger-point injections, casting and splinting, and durable medical equipment each add rules and payer nuances. MedTaskly's orthopedic billers manage the global package and every add-on precisely, holding a 98% clean-claim rate.

What We Handle

End-to-end orthopedic billing revenue cycle

Global period management
Tracking 10- and 90-day globals and correctly billing unrelated and staged care.

Surgical and modifier coding
Precise use of modifiers 58, 59, 78, and 79 to capture separately payable services.

Fracture and injection coding
Fracture care with or without manipulation, casting, and joint or trigger-point injections.

DME billing
Billing braces, supports, and other durable medical equipment with correct HCPCS codes.

Prior authorization
Securing authorizations for surgeries, advanced imaging, and DME.

Denials and credentialing
Recovering global-package and modifier denials and enrolling surgeons and APPs.

FAQ

Orthopedic Medical Billing Services — questions answered

What is a global surgical period?

A global period of 0, 10, or 90 days bundles routine pre- and post-operative care into the surgery payment. Care unrelated to the surgery, staged procedures, and complications can be billed separately with the correct modifier.

Which modifiers matter most in orthopedic billing?

Modifiers 58 (staged), 59 (distinct service), 78 (return to the OR), and 79 (unrelated procedure during the global) are critical. Correct use captures separately payable services without triggering audits.

Do you bill DME and fracture care?

Yes. We bill durable medical equipment with correct HCPCS codes and code fracture care with or without manipulation, including casting and splinting.

Why are orthopedic claims denied?

Leading causes are global-period bundling errors, missing or misused modifiers, prior-authorization gaps, and DME documentation issues. Specialized billing prevents these.

Orthopedic Medical Billing Services

What makes orthopedic billing complex?

Orthopedic practices lose revenue inside the global surgical package

End-to-end orthopedic billing revenue cycle

Orthopedic Medical Billing Services — questions answered

Ready to stop losing revenue to denials?