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Orthopedic Medical Coding
Accurate CPT and ICD-10 coding across fracture care, joint replacement, spine, and sports medicine procedures, with modifiers matched precisely to the operative report.
Orthopedic Billing Services
Orthopedic Billing Services by Revex Square is where you go when you became a surgeon to fix broken bones replace joints and get athletes back on the field not to fight with an insurance company over whether modifier 59 or XS applies to a same-day procedure. Your day often ends with tracking periods splitting facility fees at ambulatory surgery centers and insurance rules that combine a second procedure into the first one if it is not reported properly. That is where orthopedic billing services from Revex Square come in.
Orthopedic practices get paid faster clearly and in a way by working with an orthopedic billing company that really understands surgical global periods, multiple-procedure modifiers and orthobiologic coverage rules not a general team using primary-care billing logic for orthopedic claims. No long meetings. No reports filled with jargon. Just a partner who completely understands medical billing from a simple fracture-care visit to a full spine or joint replacement case.
Imagine ending your week knowing that every global period is tracked every modifier is correctly matched to the operation notes. Every claim. Professional or facility. Is already on the way to payment instead of sitting in a denial queue. That is the peace of mind we provide to practices every day.
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Orthopedic Billing Service Specifications
Complete billing & RCM overview for orthopedic practices
Orthopedic Billing Service Specifications
Service Type
Orthopedic Billing & Revenue Cycle Management
Provider
Revex Square, Full-Service Medical Billing Company
Practices Served
Service Areas Covered
Coding Systems
CPT, ICD-10, HCPCS
— with correct global period tracking, modifier logic
(59, XS, XU, XE, 58, 78, 79), and NCCI edit compliance
Service Price
As low as 2.75% of your monthly collections
— no hidden fees
EMR Compatibility
Availability
Nationwide in the United States, with payer-specific orthopedic billing rule expertise
Compliance
HIPAA-Compliant, encrypted, auditable, and secure
Key Metrics
99%
Clean Claim Rate
<25
Days in A/R
<6%
Denial Rate
48hr
Claim Turnaround
Contact Number
+1 737-227-1587
Business Hours
Mon – Fri: 6 AM – 9 PM (CST)
Want to increase your orthopedic collections? Get a free demonstration.
Schedule a Free DemoWhy Orthopedic Choose Our Billing Service
We handle the billing so you can focus on your patients.
05+ Years in Medical Billing
Focused, specialty-trained medical billing experience helping vascular practices improve collections and protect revenue.
99% Clean Claim Rate
Our billing team focuses on accurate claim submission, catching the small errors that turn into big denials before they ever reach a payer.
Faster Payments
We follow every claim from submission through payment, so your practice sees revenue faster and keeps a steadier cash flow.
Work With an Orthopedic Billing Specialist
ur team understands global surgical periods, multiple-procedure modifier logic, ASC facility billing, and the unique challenges of orthopedic revenue cycle management.
Our Orthopedic Billing Process
We simplify every step of your revenue cycle so your practice can focus on serving patients.
01
Patient Registration
We check details and insurance information including making sure eligibility workers comp claim numbers or personal injury liens are correct before the visit.
02
Charge Capture
Our team records every part of the visit from the surgery itself to imaging, injections orthobiologics and in-house DME like braces or casting supplies.
03
Medical Coding
Certified coders assign CPT and ICD-10 codes use the right multiple-procedure modifier (59, XS, XU or XE) when a second procedure is truly separate and track global period status so follow-up visits aren't billed. Or missed. Incorrectly.
04
Claim Submission
Clean claims are sent electronically to Medicare, Medicaid, workers compensation carriers and commercial payers with professional and ASC facility claims split and sent correctly.
05
Payment & A/R Follow-Up
We watch payments track global period windows follow up on claims and work hard to manage denials and unpaid accounts.
Accurate Orthopedic Coding
Every CPT code, modifier and global-period status is carefully reviewed to reduce coding errors claim rejections and lost revenue.
Reimbursement
Our simple billing process helps get claims through the revenue cycle and improves your cash flow.
Orthopedic Billing Services We Provide
Comprehensive revenue cycle solutions designed specifically for orthopedic practices — including the gaps most billing companies skip.
02
Global Period & Modifier Management
A 10- or 90-day global period determines whether a follow-up visit, injection, or return to the OR is separately billable. We track every patient's global window and apply modifiers 58, 78, or 79 correctly, so you're neither under-billing legitimate follow-up care nor triggering an avoidable denial.
03
ASC Facility vs. Professional Fee Billing
When a procedure happens in your own ambulatory surgery center, the facility fee and the surgeon's professional fee are billed separately, to different payer logic. Most orthopedic billing services only handle the professional side — we manage both, so facility revenue doesn't get left behind.
04
Orthobiologics & Regenerative Medicine Billing
PRP injections, stem cell therapy, and other orthobiologic treatments carry inconsistent coverage policies across payers, with many still classified as investigational. We verify coverage before the injection is given, not after the claim denies.
05
DME-in-Office Billing
Orthopedic practices routinely dispense braces, casting supplies, and orthotics in-house. We bill these HCPCS-coded items alongside the visit so they aren't missed, unbundled incorrectly, or left uncollected.
06
Workers' Compensation & Personal Injury Billing
These claims run on separate documentation, lien, and payer timelines than standard commercial insurance. We manage the paperwork and follow-up so these higher-value claims don't stall in review.
07
Denial Management
Our team identifies the root cause of denials, corrects billing issues, and follows up with payers to recover lost revenue, including denials tied to global-period conflicts and modifier mismatches.
08
Accounts Receivable Management
We monitor outstanding accounts, prioritize aging balances, and actively follow up to accelerate reimbursement.
09
Multi-Location Orthopedic RCM Reporting
For groups running multiple sites, we consolidate collections, denial trends, and A/R performance by location and provider, so growth doesn't come with reporting blind spots.
Need a Complete Orthopedic RCM Solution?
Let Revex Square handle your billing while you focus on serving patients.
ORTHOPEDIC-SPECIFIC EXPERTISE
Orthopedic Billing Services Tailored to Your Practice
Every orthopedic practice is different. A sports medicine clinic dealing with scope procedures and injections has different billing needs than a spine surgery practice tracking 90-day global periods or a group with multiple locations using its own billing software across several sites and an in-house ASC.
Revex Square offers specialized orthopedic billing services built around the complexities that general billing companies may not fully understand, including global surgical periods, multiple-procedure modifier logic, facility vs. professional splits, and orthobiologic services.
✓
Specialty-Specific Coding
Correct CPT and ICD-10 coding for fracture care, joint replacement, spine, sports medicine, and orthobiologics with modifier logic that matches the operation note.
✓
Payer Expertise
Handling of Medicare, Medicaid, commercial payers, and workers' compensation carriers, each with their own rules for global periods and orthobiologic coverage.
✓
Complete Revenue Cycle
From checking eligibility and getting authorization to coding, facility and professional claims, denials, and A/R follow-up, we cover the whole journey from visit to final payment.
Performance Snapshot
Orthopedic RCM
Clean Claims
99%
Denial Rate
<8%
Days in A/R
<25
99%
Clean Claims
Faster
Payments
<25
Days in A/R
WHY REVEX SQUARE
Talk to an Orthopedic Billing Specialist
→
Why Choose Revex Square Among Orthopedic Billing Companies?
Your practice deserves more than a general medical billing company. You need a revenue cycle partner that knows the complexities of orthopedic billing and coding.
✓
Orthopedic-Specific Expertise
Our billing staff understand global periods, multiple-procedure modifiers, ASC facility billing and the surgical documentation needs that make orthopedic billing very different from primary care billing.
✓
Transparent Pricing
Pricing with no extra hidden costs so you know exactly what you are paying for.
✓
Dedicated Billing Team
Work with billing specialists who are an extension of your practice and focus on your financial success.
✓
Complete Revenue Cycle Management
From registration and checking eligibility to coding, claims, denials and A/R follow-up we handle the whole cycle.
Turn Your Orthopedic Billing Challenges Into Results
From claim denials to modifier conflicts Revex Square helps find the problems affecting your money and offers solutions.
High Claim Denials
Orthopedic denial rates rise quickly when global periods and modifiers are not handled properly. We find denial patterns fix billing errors and follow up with insurance companies to get money back.
Solution
Denial Management
Slow Insurance Payments
Our team keeps track of claims that are not paid and follows up with insurance companies to speed up payments.
Solution
A/R Follow-Up
Global Period Conflicts
Billing a follow-up visit or a return procedure without the modifier during an active global period is one of the most common. And most avoidable. Reasons, for orthopedic denials.
Solution
Global Period & Modifier Management
Missed ASC Facility Revenue
Practices that run their surgery center often under-bill the facility-fee part of a case because it is tracked separately from the surgeons claim.
Solution
ASC Facility vs. Professional Billing
Orthobiologic Coverage Denials
PRP and regenerative medicine claims get denied at rates when coverage isn't checked before treatment.
Solution
Orthobiologics Billing & Pre-Verification
Growing A/R
We focus on aging accounts. Make sure we follow up consistently to keep your accounts receivable under control.
Solution
A/R Management
Stop leaving money on the table.
Let our orthopedic billing experts find ways to improve your revenue cycle.
GOT QUESTIONS?
Frequently Asked Questions About Orthopedic Billing
Get answers to the questions most frequently asked about orthopedic billing, coding, global periods, and revenue cycle management.
Orthopedic billing manages claims for orthopedic procedures while handling global periods, surgical modifiers, and procedure-specific billing requirements.
A global surgical period includes certain follow-up services in the original procedure payment, so additional billing must follow applicable payer rules.
Coverage varies by payer, and many PRP or orthobiologic treatments may be considered non-covered or investigational.
These claims often require specialized documentation, payer processes, and dedicated follow-up compared with standard commercial insurance claims.
Our orthopedic billing services start as low as 2.75% of monthly collections, depending on procedure volume and your practice's billing requirements.