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Orthopedic Billing

Orthopedic Medical Billing Services

Orthopedics mixes high-value surgery, fracture care, injections, and DME, each with strict global-period and modifier rules. Our certified coders specialize in orthopedic RCM so your revenue reaches your account.

Get a Free Orthopedic Billing Audit

We handle orthopedic billing end to end, surgical and non-surgical care, imaging, injections, and durable medical equipment. Because ortho revenue is concentrated in procedures with global periods and bundling rules, a specialty-trained team is what keeps claims clean and cash flowing.

Orthopedic billing we handle

  • Orthopedic surgery. Arthroscopy, joint replacement, and repairs with correct global-period handling.
  • Fracture care. Global vs itemized fracture billing done correctly.
  • Injections. Joint and trigger-point injections plus the drug (J-code).
  • Viscosupplementation. Hyaluronic-acid knee injections billed with the correct J-code, units, and prior authorization.
  • Ultrasound-guided injections. Imaging guidance billed with the injection where performed.
  • Casting & splinting. Cast and splint application coded separately from the fracture care.
  • DME. Braces, supports, bone stimulators, and equipment with correct HCPCS and modifiers.
  • Imaging. X-ray and advanced imaging with professional/technical components.
  • Modifiers & global periods. 24, 25, 58, 78, 79 applied correctly.
The orthopedic trap. Global-period rules on surgery and fracture care cause more denials in ortho than almost anywhere. Post-op visits, staged procedures, and unrelated care during a global period need the right modifier, or they're denied.

Why orthopedic practices lose revenue

The usual losses: mishandled global periods, missing modifiers on staged or bilateral procedures, DME billed with wrong HCPCS, and injections billed without the drug. Ortho-trained coders catch these before the claim goes out.

What you get with PRMS

Global-period accuracy

Surgery and fracture care billed right, with correct post-op and staged-procedure modifiers.

Full capture

Injections, DME, and imaging all captured, not missed.

Denial recovery

Dedicated follow-up on high-value surgical denials.

Orthopedic billing FAQs

What makes orthopedic billing complex?

High-value surgeries and fracture care carry global periods and bundling rules, and ortho also involves DME, injections, and imaging, each with its own coding requirements. Small modifier errors on these codes are costly.

Do you handle global-period modifiers?

Yes. We apply modifiers 24, 25, 58, 78, and 79 correctly so post-op visits and staged or unrelated procedures during a global period are billed and paid.

Can you bill DME and injections?

Yes, braces and equipment with correct HCPCS, and joint/trigger-point injections including the drug J-code and administration.

How soon will results show?

Most orthopedic practices see cleaner claims within the first billing cycle, with measurable denial and AR improvement over 60 to 90 days.

Related services & specialties

Explore our full billing, coding & denial management services and provider credentialing, or see other specialties including pain management and more.