Orthopedic Billing Services
Global period errors, assistant surgeon denials, and bundling traps cost orthopedic practices hundreds of thousands a year. We recover every dollar.
25+
Years in medical billing
30+
Specialties served
All 50
States supported
Dedicated
Specialty team
The Orthopedic Billing Challenge
Every specialty has coding landmines. Here are the ones costing orthopedic practices the most.
Global Period Fracture Care
$80-120K/yr99024 / 90-day global
Post-operative visits within the 90-day global period are included in the surgical fee — but separately billable complications, unrelated conditions, and return-to-OR procedures are routinely written off by mistake.
Assistant Surgeon Modifiers
Top denial reasonModifier -62 / -80 / -82
Assistant surgeon claims require the correct modifier and supporting documentation. Using -80 when -62 applies, or failing to document medical necessity for -82, causes immediate denials on high-dollar claims.
Total Joint Replacement
$40-60K/yr27447 TKA / 27130 THA
Total knee and hip arthroplasty codes have specific laterality, approach, and implant documentation requirements. Bundled services and post-acute care coordination add further complexity.
Hardware Removal Bundling
$15-30K written off20680 / 20670
Hardware removal is frequently bundled into the original surgery or written off as a global period service when it is separately billable. This is one of the most overlooked revenue sources in orthopedics.
Knee Arthroscopy
$20-35K bundling errors29881 / 29880 / 29876
Multiple arthroscopic procedures performed in the same session require careful modifier and bundling logic. Incorrect NCCI edits cause denials or underpayment on nearly every multi-procedure knee case.
Spine Surgery Complexity
Highest-dollar claims22551 / 22612 / 63047
Multi-level spine fusions, decompressions, and instrumentation involve the most complex coding in orthopedics. Each additional level, approach, and implant must be coded separately with proper add-on sequencing.
What We Handle
Complete orthopedic billing coverage — every code, every payer, every claim.
Joint Surgery
- Total knee arthroplasty (TKA)
- Total hip arthroplasty (THA)
- Revision joint replacement
- Shoulder arthroplasty
- Arthroscopic procedures
- Joint injections
Fracture & Trauma
- Open & closed fracture care
- Global period management
- Return-to-OR procedures
- Hardware removal
- External fixation
- Casting & splinting
Spine
- Lumbar & cervical fusion
- Laminectomy & discectomy
- Multi-level procedures
- Anterior & posterior approach
- Spinal implants & instrumentation
- Spinal injections
Administrative
- Prior authorization
- Assistant surgeon authorization
- Implant tracking & billing
- Workers compensation
- Appeals & reconsiderations
- Patient billing & statements
How It Works
Week 1
Free Analysis
We audit your orthopedic billing, identify the biggest revenue leaks, and show you the numbers.
Week 1-2
Your Team Gets to Work
Coders and billers trained in orthopedic connect to your system and start processing claims.
Day 30-90
Results Compound
Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.
“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”
Chris Applewhite
Frequently Asked Questions
How do you track global period billing?
Do you handle workers compensation claims?
How do you manage assistant surgeon billing?
Can you handle implant and hardware billing?
Do you integrate with our EHR?
How quickly can we get started?
Find out how much revenue your orthopedic practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.