Sports Medicine Medical Billing Services

We code the primary arthroscopic procedure at full value and apply modifier 59 or XS to additional distinct procedures performed through the same scope, following CCI bundling edits. Our coders review operative reports to identify all billable components while maintaining compliance with payer-specific bundling policies.

Yes. We determine coverage eligibility for each patient's plan, set up proper self-pay billing workflows for non-covered regenerative services, and bill covered components (like the ultrasound guidance and joint injection procedure code) to insurance when the regenerative product itself is not covered.

We code diagnostic MSK ultrasound (76881 complete, 76882 limited) and ultrasound-guided procedures (76942 for needle guidance) with proper documentation of the clinical indication, structures examined, and any guided intervention performed. We ensure the performing provider meets credentialing requirements for ultrasound billing.

Yes. We code initial concussion evaluation E/M visits, neurocognitive testing (96116, 96132-96133), balance assessments, and follow-up visits with appropriate ICD-10 codes for post-concussive syndrome. We also manage the return-to-play clearance visit billing.

We submit to workers' compensation carriers using their specific fee schedules and authorization processes, track treatment approval timelines, and manage the outcome reporting documentation that comp carriers require. We also handle the transition to personal insurance when work-related injury status is disputed.