Orthopedic Billing Services — Specialized RCM for Orthopedic Practices
Accurate billing for orthopedic surgery, fracture care, injections, and office visits — with expert handling of global periods, modifiers, and surgical prior authorizations.
Orthopedic Billing: High-Value Claims, High Complexity
Orthopedic billing involves some of the highest-value claims in outpatient and surgical medicine — joint replacements, arthroscopic procedures, fracture care, spinal surgery — each carrying significant reimbursement potential and equally significant billing complexity.
Surgical global periods, complex modifier requirements (22, 51, 59, 79), implant and supply billing, and prior authorization requirements for elective procedures make orthopedic billing one of the most technical in healthcare. Errors here aren’t just costly — they can create compliance risk that exposes your practice to audit.
FluxCura’s orthopedic billing specialists are trained in musculoskeletal CPT coding, surgical billing, global period management, and the documentation standards that support orthopedic reimbursements across commercial, Medicare, and workers’ compensation payers.
Orthopedic Billing Services FluxCura Provides
Surgical Procedure Billing
Accurate coding for orthopedic surgical procedures — arthroscopy, joint replacement (hip, knee, shoulder), spinal fusion, rotator cuff repair, ACL reconstruction, and more — with correct primary and add-on code selection, assistant surgeon billing, and anesthesia coordination.
Global Period Management
Orthopedic surgeries carry 90-day global periods. Services delivered during the global period have strict billing rules — routine follow-up is included; unrelated conditions and complications require modifiers. FluxCura tracks global periods and correctly applies modifiers 24, 25, 57, 58, and 79 to ensure legitimate services are billed outside the global without compliance risk.
Fracture Care Billing
Fracture care CPT codes include both the initial treatment and a period of follow-up care. We ensure fracture care is coded correctly — including the distinction between open and closed treatment, and the global period that applies to each code.
Injection & Procedure Billing
Joint injections (corticosteroid, hyaluronic acid), trigger point injections, aspiration, and casting/splinting all have specific coding and documentation requirements. FluxCura bills these services accurately, including correct supply coding for injected substances.
Prior Authorization Management
Elective orthopedic procedures — joint replacement, arthroscopy, spinal procedures — typically require prior authorization from commercial insurers. We manage the authorization process end-to-end, ensuring surgical dates are never set without valid coverage in place.
Workers’ Compensation Billing
Workers’ comp billing follows state-specific fee schedules and documentation requirements entirely separate from standard health insurance. FluxCura manages workers’ comp billing for orthopedic practices with the state-specific expertise it requires.
Protect Your Surgical Revenue — Get a Free Orthopedic Billing Audit
Orthopedic procedures represent your practice’s most valuable claims. FluxCura ensures they’re billed correctly, compliantly, and completely — from the surgical authorization through the final follow-up visit.
