Can you bill an office visit with a cast application?
Asked by: Milo Blick | Last update: September 19, 2025Score: 4.8/5 (70 votes)
Can you bill an office visit with fracture care?
Fracture care codes include all supplies, applications and office visits and are reimbursed at a higher rate (like surgeries). The decision as to whether to use the fracture care code or not stems from the treatment plan.
Can you bill and office visit for a telehealth?
E-Consults: A health care provider at the distant site may bill for an e-consult with the CPT Codes listed in the Medi-Cal Telehealth Provider Manual when the benefits or services delivered meet the procedural definition and components of the CPT code for e-consults as defined by the AMA as well as any requirements ...
How to bill for a cast application?
CPT® 29075, Under Body and Upper Extremity Application of Casts. The Current Procedural Terminology (CPT®) code 29075 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Casts.
Can you bill an office visit with a preventive visit?
Physicians are not prohibited from coding and billing for both preventive and problem-focused E/M services when they are performed during the same appointment.
Coding Cast & X-ray Application During Post-op | Medical Coding Tips
What qualifies as an office visit?
An office visit is any direct personal exchange between an ambulatory patient and a physician or members of their staff for the purpose of seeking care and rendering health services.
Can you bill 99213 and 99396 together?
In this case, you may submit codes for both a preventive service (such as 99396) and a regular office visit (such as 99213) by attaching -25 to the office-visit code.
What is the 25 modifier for cast application?
Modifier 25 is used to indicate that a patient's condition required a significant, separately identifiable evaluation and management (E/M) service above and beyond that associated with another procedure or service being reported by the same physician or other qualified health care professional (QHP) on the same date.
Is a cast application included in fracture care?
Yes. CPT guidelines indicate that the fracture care codes include the application and removal of the first cast or traction device.
What is the CPT code for casting application?
CPT codes 29345, 29355, 29358, 29365, 29405, 29425, 29435, 29445, 29450 are the CPT codes for the application of casts and splints. They are all minor surgical procedure codes with a 0 day postoperative global period. Important Notes for Codes 29345, 29355, 29358, 29365, 29405, 29425, 29435, 29445, 29450: 1.
Can you bill a 99213 for telemedicine?
These services should be billed using standard E/M codes. For example, a level 3 office visit provided to an established patient via telehealth should be billed using code 99213. See the “Modifiers and Place of Service” section of this guide for additional billing instructions.
Can a preventive visit be done via telehealth?
Many preventive services on the Well-Woman Chart that involve screening, assessment, and counseling can be done via telehealth. It is important to note that in some situations, a physical examination may be indicated to address the particular preventive service being addressed.
Can I bill an office visit with an injection?
It is true that an evaluation and management code, an E/M or office visit, can be reported with a minor procedure such as an injection, but only if the E/M is significant and separate and exceeds the “pre-service evaluation” that is inherent to the injection.
What is considered an office visit for health insurance?
What is included in an “office visit?” The purpose of an “office visit” is to discuss, evaluate, and treat a SPECIFIC health concern or condition or chronic problem that has changed. This type of visit may include lab work, X-rays or additional tests related to your health concern.
Can you bill an office visit with a laceration repair?
The repair of a superficial wound that does not require sutures but is closed with adhesive strips is included in the fee for the evaluation and management (E/M) visit and should not be billed separately.
Can you bill a cast application after surgery?
Yes! The first cast is inclusive to the global surgical CPT code, but re-applications are billable, assuming of course, that medical necessity is present.
What are the uses of cast application?
Casts hold an injured part of your body in place, especially while you're healing after a bone fracture. They're either fiberglass or plaster. You may need surgery to realign your bone before a healthcare provider puts a cast on.
What are 5 guidelines for cast care?
- Try blowing cool air from a hair dryer or fan into the cast to help relieve itching. Never stick items under your cast to scratch the skin.
- Don't use oils or lotions near your cast. ...
- Keep up your muscle strength and tone as much as you can while protecting your injured limb or joint.
Does modifier 25 go on office visit or procedure?
Modifier 25 is used to signify that when a separate identifiable evaluation-and-management (E/M) service was performed, which can refer to two evaluation-and-management (E/M) services, or a procedure plus an E/M service.
Can you bill for a splint application?
“Since you are not providing restorative care and have referred the patient on, you can bill both for the supplies used to make the splint as well as the application.”
Can you bill an office visit and a procedure on the same day?
Sometimes yes, sometimes no. The decision to perform a minor procedure is included in the payment for the procedure, unless a significant and separate E/M is needed, performed and documented.
Can you bill 99213 with modifier 25?
If the E/M is not bundled into the stress test, then the Cardiologist's coder can use modifier 25 to indicate that these two services were separate and significant: 99213-25, 93015.
What is the difference between preventive visit and office visit?
The purpose of a preventive visit is to review your overall health, identify risks and find out how to stay healthy. Your plan covers 100% of a preventive visit when you see a doctor in your plan network. * The purpose of an office visit is to discuss or get treated for a specific health concern or condition.
Can you bill an office visit with an annual wellness visit?
CPT states that if a new or existing problem is assessed and managed at the time of the preventive visit, the physician should also bill a problem-oriented visit (an office visit) on the day of the preventive care. But insignificant problems that do not require extra work should not be billed as office visits.