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Sports medicine practice economics part 2: consultations, modifiers, and other codes
Chris Madden1, James G Macintyre, Elizabeth Joy
1Longs Peak Family Practice, Longmont, CO, 80501, USA. christophermadden@usa.net.
Abstract:
Physicians face numerous challenges related to sports medicine practice economics, including coding and billing for consultations. Some of this difficulty stems from a lack of widespread recognition of sports medicine as a specialty. To further complicate matters, many insurance companies refuse to recognize dual credentials in both family medicine and sports medicine. Physicians can better position themselves for appropriate reimbursement from third-party payers by becoming familiar with modifiers and related codes for various sports medicine services, including fracture care, injections and arthrocentesis, and osteopathic mobilization.
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