Many orthopedic practices encounter issues in their revenue cycle. There is such a broad spectrum in services provided that billing is often very complex. It can be especially hard for practitioners to understand when certain modifies are required to receive full reimbursement.

Many difficulties within orthopedic billing are attributed to modifiers KX, RT, and LT. For instance, if a patient requires certain medical soles and code L3030 is used. When using code L3030 for removable inserts, it is paramount to add KX to both LT and RT. It is also important that they are used separately for full reimbursement. Without utilizing these modifiers properly, your practice will receive denials and a loss of income.

Orthopedics encompasses many disciplines. Without formal education in specialty coding it can become overwhelming. Your administrative staff should be knowledgeable about billing noninvasive procedures including physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology.