MBC for Physicians

Orthopedic Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Getting Started

At the heart of our orthopedic medical billing services is a deep understanding of the unique challenges faced by orthopedic professionals. We provide seamless solutions to optimize your revenue cycle and streamline your administrative processes.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Orthopedic Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

  • Overview: Tailored Orthopedic Billing Services
    →
  • Comprehensive Orthopedic Billing Services
    →
  • Expertise in Specialized Coding
    →
  • Credentials That Inspire Confidence
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  • Streamlined Revenue Cycle Management
    →
  • Sports Medicine Billing
    →
  • Rheumatology Billing
    →
  • Pain Management Billing
    →
  • Rehabilitation Billing
    →

Medical Billing for Orthopedics involves meticulous documentation and coding before, during, and after a patient’s visit. MBC’s specialized orthopedic billing and coding team understands the unique challenges faced by orthopedic practices.

Our experts are committed to evolving alongside billing reforms and technologies to reduce claim rejections and improve efficiency.

  • Accurate calculation and documentation ensure smoother billing processes.
  • Our team evolves with billing reforms for improved claim acceptance.

Mastering Every Code for
Orthopedic Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Foot and Ankle Procedures

A5500

Diabetic shoe fitting and modification (use KX modifier for reimbursement).

L3030

Removable foot inserts (use L3030LTKX for left and L3030RTKX for right foot).

97597

Removal of devitalized tissue for up to 20 square centimeters (RT LT modifiers not applicable).

Fracture and Dislocation Care

24500

Closed treatment of humeral shaft fracture; without manipulation.

26600

Closed treatment of metacarpal fracture; without manipulation.

28510

Closed treatment of fracture of the toe; without manipulation.

Joint Reconstruction and Replacement

27130

Total hip replacement (arthroplasty).

27447

Total knee replacement (arthroplasty).

29881

Knee arthroscopy with meniscectomy (partial removal of damaged meniscus).

Spine and Musculoskeletal Procedures

22551

Anterior cervical discectomy and fusion (ACDF).

63047

Lumbar laminectomy for decompression of spinal cord or nerves.

20930

Allograft for spine surgery, morselized (graft preparation).

Sports Medicine and Trauma

29888

Arthroscopic ACL reconstruction (anterior cruciate ligament repair).

27650

Repair of ruptured Achilles tendon.

24342

Reconstruction of the elbow (ligament repair).

Rheumatology Billing Codes

99213

Established patient office visit, typically for follow-up appointments in rheumatology practices.

CPT 20610

Arthrocentesis (joint aspiration) for diagnostic or therapeutic purposes.

Pain Management Billing Codes

CPT 64483

Injection of anesthetic or steroid to a spinal nerve, commonly used for nerve block procedures.

CPT 62322

Injection of epidural steroid, lumbar or sacral, for pain management related to spinal conditions.

CPT 62321

Epidural injection, for chronic pain management or nerve-related issues.

Rehabilitation Billing Codes

CPT 97110

Therapeutic exercise to develop strength, endurance, or range of motion, commonly used in physical therapy.

CPT 97530

Therapeutic activities to improve functional performance, such as activities for patients with injuries or disabilities.

CPT 97535

Self-care/home management training, helping patients with activities of daily living (ADLs) after rehabilitation therapy.

Download Your Orthopedic
Billing Guideline Here
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Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Orthopedic Billing Process ?
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Real Physicians, Real Results

Discover how physician groups thrive with us

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