rlohearn
Contributor
Can an orthopedic surgeon code for cast application if a medical assistant or other staff does the actual application?
This question came up with some orthos who didn't believe it was codeable unless they themselves did the app. I always thought that, provided that all other conditions were appropriate (i.e., it's not the initial app in a fracture care, if done by an NP/PA it's billed with the NP/PAs provider number, etc.), it's completely appropriate to code the app, even when staff is doing it.
I checked Medicare's Benefit Policy Manual, sections 60-60.1 (the incident-to section) and 100 (Surgical Dressings, Splints, Casts, etc.), and I'm interpreting it, along with my past experience, as "yes, you can code for that". But I admit the question floored me--any thoughts out there?
Thanks in advance!
This question came up with some orthos who didn't believe it was codeable unless they themselves did the app. I always thought that, provided that all other conditions were appropriate (i.e., it's not the initial app in a fracture care, if done by an NP/PA it's billed with the NP/PAs provider number, etc.), it's completely appropriate to code the app, even when staff is doing it.
I checked Medicare's Benefit Policy Manual, sections 60-60.1 (the incident-to section) and 100 (Surgical Dressings, Splints, Casts, etc.), and I'm interpreting it, along with my past experience, as "yes, you can code for that". But I admit the question floored me--any thoughts out there?
Thanks in advance!