Orthopedics Medical Billing Services
Orthopedic billing is highly specialized and documentation-intensive, requiring precise procedural coding, detailed surgical reporting, accurate imaging linkage, and strict compliance with payer guidelines for both surgical and non-surgical musculoskeletal care. With complex global surgery rules, device-specific codes, fracture care billing, and high-volume diagnostic services, even minor errors can lead to costly denials and delayed payments.
MedVoice provides comprehensive orthopedics medical billing services tailored for orthopedic surgeons, specialty clinics, sports medicine centers, and multi-disciplinary practices. Our team ensures accurate coding, complete documentation review, and timely claim submission — helping orthopedic practices reduce denials, improve billing accuracy, and achieve faster, more predictable reimbursements across all orthopedic services.
If your orthopedic practice needs a billing partner that understands the unique demands of musculoskeletal care, MedVoice is here to strengthen your financial performance.
Proven Performance, Tangible Results
Our orthopedic billing workflows are built to support high-volume clinics and surgery centers. These performance metrics demonstrate our ability to improve reimbursement accuracy and financial stability.
98%
Clean Claim Acceptance Rate
Our claim scrubbing and coding accuracy help orthopedic claims pass payer edits on the first attempt.
40%
Faster Reimbursement Cycles
We track every orthopedic surgical and therapy claim aggressively, reducing A/R days significantly.
99%
Coding Accuracy for Ortho Procedures
We handle ICD-10, CPT, and modifier rules for complex orthopedic procedures with exceptional precision.
40%
More Predictable Monthly Revenue
Cleaner claims, correct modifier assignment, and compliant documentation lead to more reliable revenue flow.
Challenges We Solve for Orthopedic Practices
Orthopedic billing is one of the most complex specialties, involving surgery global periods, imaging, procedures, injections, fracture care, and therapy services. MedVoice helps orthopedic practices overcome these challenges and eliminate administrative bottlenecks.
Incorrect fracture care billing (global package issues)
Confusion between surgical and non-surgical fracture coding
E/M and procedure billing conflicts (modifier 25 misuse)
Bundling issues for supplies, imaging, and procedures
Frequent denials for MRI, X-rays, and musculoskeletal imaging
Missing documentation for orthopedic surgeries
Incorrect coding for joint injections & aspirations
Inconsistent coding for follow-up and post-op care
MedVoice eliminates these obstacles with specialty-specific billing workflows.
Why Family Practice Billing Requires Specialized Expertise
Orthopedics involves multiple encounter types, from conservative treatments to highly complex surgical procedures. Billing requires mastery of clinical terminology, global periods, imaging codes, and modifier application.
Our team specializes in:
- Correct surgical global period coding
- Accurate CPT and ICD-10 linkage for fractures
- Proper E/M + procedure coding
- Documentation validation for medical necessity
- Imaging and injection billing rules
- Identifying missed revenue opportunities (therapy, follow-ups, DME)
- Prior authorization management for surgeries and imaging
- Accurate use of orthopedic-specific modifiers
Our team ensures every encounter type meets payer and CMS requirements.
Some Of The Common Orthopedic Diagnoses We Bill For (ICD-10 Codes)
Below are frequently billed orthopedic conditions with accurate ICD-10 codes.
- Knee osteoarthritis — 9
- Shoulder pain — 519
- Lumbar radiculopathy — 16
- Carpal tunnel syndrome — 00
- Rotator cuff tear — 100
- Lumbar spondylosis — 816
- Wrist sprain — 501A
- Hip osteoarthritis — 9
- Meniscus tear — 209A
- Plantar fasciitis — 2
- Fracture of radius (initial) — 509A
- Tendonitis — 9
- Sciatica — 30
A Few Of The Orthopedic Procedures & Billing Codes We Support
Evaluation & Management
New patient visits — 99202–99205
Established patient visits — 99212–99215
Post-op follow-ups (included in global period)
Joint Injections & Aspirations
Large joint (shoulder/hip/knee) — 20610
Small joint (wrist/ankle) — 20605
With ultrasound guidance — 20611
Fracture Care
Closed treatment of distal radius — 25600
Closed treatment of tibia/fibula — 27750
Closed treatment of clavicle — 23500
Application of cast/splint — 29075–29550
Orthopedic Surgeries
Arthroscopic knee surgery — 29881
Shoulder arthroscopy — 29822 / 29823
ACL reconstruction — 29888
Hip replacement — 27130
Carpal tunnel release — 64721
Spinal decompression — 63030
Imaging & Diagnostics
X-ray (knee) — 73562
X-ray (shoulder) — 73030
MRI without contrast — 73721 / 73221
CT scan lower extremity — 73700
DME & Orthopedic Supplies
Walking boot — L4361
Knee brace — L1820
Wrist splint — L3908
Who We Support
Our orthopedics medical billing services are designed for:
Orthopedic surgery centers
Sports medicine clinics
Non-surgical orthopedic practices
Spine specialists
Hand & wrist orthopedic clinics
Pediatric orthopedic practices
Multi-specialty orthopedic groups
Compliance & Documentation Accuracy
Orthopedic billing compliance is strict due to surgical complexity and payer documentation expectations. We ensure every claim meets regulatory standards and audit requirements.
We ensure compliance with:
- Global surgical package rules (0, 10, 90-day periods)
- Imaging documentation guidelines
- CMS fracture care billing rules
- Correct ICD-10 specificity for injuries
- Modifier regulations (LT/RT, 59, 51)
- DME documentation standards
- HIPAA and security protocols
Our audits minimize risk and ensure clean, compliant claims.
Benefits of Outsourcing to MedVoice
Outsourcing orthopedic billing to MedVoice helps eliminate administrative burdens, reduce claim errors, and strengthen your revenue cycle.
- Higher reimbursements through correct coding
- Fewer denials for orthopedic procedures & imaging
- Reduced workload for front/back office teams
- Faster reimbursements with continuous follow-up
- Complete billing transparency
- Lower operational costs vs. in-house billing
- Dedicated orthopedic billing team
- Scalable support as your surgery volume grows
FAQ For Orthopedics Medical Billing Services
Why is orthopedic billing more complex?
Orthopedics involves surgical global periods, multiple imaging tests, and detailed fracture coding that requires expert knowledge.
Do you bill both surgical and non-surgical orthopedic services?
Yes — including procedures, casting, injections, imaging, and DME.
Do you manage prior authorizations?
Absolutely — we handle authorizations for imaging, surgeries, and injections.
How quickly do you submit claims?
Claims are submitted within 24–48 hours once documentation is complete.
Do you handle denials and appeals?
Yes — especially orthopedic-specific denials related to fractures, imaging, and surgical documentation.
Request a FREE Billing Audit Today
Improve your orthopedic clinic’s efficiency and revenue with specialized orthopedics medical billing services. MedVoice ensures accurate coding, compliant documentation, and faster reimbursements — so your practice can operate at peak financial performance.
