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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

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 60–90 days.

Related services & specialties

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