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Orthopedic Medical Billing
Orthopedics is a medical specialty that deals with the diagnosis, treatment, and prevention of conditions related to the musculoskeletal system. This includes bones, joints, muscles, ligaments, tendons, and nerves.
As such, orthopedic billing service is critical in helping individuals regain their mobility, reduce pain, and improve their overall quality of life. However, as with any medical specialty, orthopedic care is not without its administrative and financial challenges. This is where orthopedic medical billing comes in.
Streamline Your Orthopedic Revenue Cycle with Trusted Billing Experts
At MDVITALS, we specialize in orthopedic medical billing and coding solutions tailored to meet the unique demands of musculoskeletal care. Whether you run a solo orthopedic clinic or a multi-provider group, our certified billing professionals handle the complexity of orthopedic billing so you can focus on patient outcomes.
Orthopedic Billing & Coding Services
Orthopedic billing is the process of submitting and processing claims for orthopedic care services. This includes verifying insurance coverage, coding diagnoses and procedures, submitting claims, and following up on payment status. It’s crucial to ensure healthcare providers receive payment for their services. However, it can be complex and time-consuming, leading many to turn to professional billing services to streamline operations and maximize revenue.
Orthopedic Billing and Coding Services for Accurate, Fast Reimbursements
Orthopedics encompasses a broad range of services—from trauma surgery to joint replacements—which makes billing and coding in this specialty particularly complex. Successful reimbursement depends on accurate documentation, proper use of modifiers, and a deep understanding of payer-specific rules.
Errors like incomplete patient demographics, missing pre-authorizations, or misused codes can result in claim rejections, denials, or delayed payments. In fact, studies show that nearly 35% of orthopedic claims are filed incorrectly, with 25% resulting in rejections—costing practices both time and revenue.
Why Outsource Orthopedic Billing to MDVitals?
While training in-house teams can help, the ever-evolving payer guidelines, coding updates, and compliance rules make outsourced orthopedic billing the smarter choice. As a HIPAA-compliant orthopedic billing company, MDVitals ensures secure handling of sensitive patient data while simplifying even the most intricate billing challenges using industry-best practices and advanced billing software.
Our team of certified coders and revenue cycle experts helps you reduce denials, increase collections, and stay compliant—making us one of the best orthopedic billing services trusted by providers nationwide.
Specialties We Serve Under Orthopedic Billing
Our team understands the procedural nuances and coding complexities of orthopedic treatments. We provide support for a wide range of subspecialties, including:
- Spine Surgery
- Trauma and Fracture Care
- Hand & Wrist Surgery
- Joint Replacements (Hip & Knee)
- Pediatric Orthopedics
- Sports Medicine
- Shoulder & Elbow Surgery
- Foot & Ankle Surgery
- Bone Health Clinics
- Orthopedic Oncology
From surgical op-notes to DME billing and post-op global periods, we ensure every code tells the complete story of the care provided.
Our Proven Orthopedic Revenue Cycle Management Process
Orthopedic billing isn’t just about submitting claims—it’s about aligning clinical documentation with payer policies, managing denials effectively, and accelerating payments. At MDVitals, we provide:
- Accurate Patient Demographic Entry & Eligibility Checks
- Prior Authorization Management
- CPT/ICD Coding and Modifiers Handling
- Claims Scrubbing, Submission & Tracking
- Denial Management & Appeals
- A/R Follow-Up and Payment Posting
- Comprehensive Reporting & Insights
We also educate your in-house team on coding best practices, minimizing future billing disruptions.
What Sets Us Apart
- End-to-end RCM services tailored to orthopedic practices
- Certified coders proficient in ICD-10, CPT, and HCPCS
- Compliance with CMS, AMA, AAOS, and HIPAA guidelines
- Real-time reporting and actionable insights
- Regular audits to minimize denials and uncover revenue gaps
Serving Orthopedic Providers Across the U.S.
Whether you’re an independent orthopedic surgeon or part of a hospital-based orthopedic team, we customize our services to your workflow:
- Solo Orthopedists
- Specialty Surgery Centers
- Orthopedic Group Practices
- Academic Medical Centers
- Sports Medicine Clinics
- Pediatric Ortho Specialists
- Foot & Ankle Surgery
- Hospital-Ortho Partnerships
Orthopedic Billing Professionals Committed to Your Revenue Growth
As one of the best orthopedic billing services in the industry, MDVitals is trusted by orthopedic surgeons and group practices nationwide. Whether you’re seeking a specialized orthopedic surgery billing company or require end-to-end orthopedic medical billing and coding solutions, our team is equipped to optimize your entire revenue cycle with precision and compliance.
We are not just a vendor—we’re your partner in growth. As a HIPAA-compliant orthopedic billing company, we prioritize security, accuracy, and compliance in everything we do.
Why Choose us?
At MDVitals, we are committed to providing our clients with the highest level of service and support.
Simplify Billing and Improve Revenue with Our RCM Solutions
Our advanced approach to orthopedics medical billing sets MDVITALS apart. As a leading orthopedic billing services company, we combine innovative technology with expert support to streamline your revenue cycle. Through our proprietary Smart Claim system, we deliver accurate orthopedic billing & medical coding services, identifying errors before submission for a 98% first-time acceptance rate. Whether you’re seeking orthopaedic billing & coding services or full orthopedic billing outsourcing, MDVITALS is the trusted partner for reliable medical billing service for orthopedics that drives faster reimbursements and fewer delays.
You are a professional in your field. But are you getting paid like one?
How We Work to Maximize Revenue for Urgent
Care Professionals
MDVITALS delivers reliable orthopedics billing service through advanced tools and expert support. As an experienced orthopedic billing agency, we specialize in orthopedic-specific billing and accurate claim submission. Our team provides end-to-end orthopedic billing coding services and comprehensive orthopaedic medical billing services to ensure clean claims, faster reimbursements, and optimized revenue for your practice. Trust us for accurate and efficient orthopaedic medical billing solutions. Choosing MDVitals for your medical billing needs offers a number of advantages over other providers. Here are just a few reasons why you should choose us.
Experienced Team
Maximize Revenue
Billing Ease
Claim Compliance
Let MDVitals Manage Your Orthopedic Revenue Cycle
Ready to take the stress out of orthopedic billing?
We understand that in orthopedics, every procedure has coding complexities that directly impact your cash flow. That’s why we go beyond basic billing—we bring clarity to your claims, reduce revenue leakage, and ensure every dollar earned is collected.
Orthopedic Billing Codes: CPT and ICD-10 Codes
CPT Codes
- ICD codes are used to classify and report medical diagnoses and conditions. Here are five common ICD codes for orthopedic care
- M17.11 – Unilateral primary osteoarthritis of the right knee
- S42.001A – Fracture of the right clavicle, initial encounter for closed fracture
- S72.001A – Fracture of the right femur, initial encounter for closed fracture
- CPT codes are used to report medical procedures and services. Here are five common CPT codes for orthopedic care:
- 20610 – Arthrocentesis, aspiration, and/or injection; major joint or bursa (e.g., shoulder, hip, knee)
- 29826 – Arthroscopy, shoulder, surgical; with debridement, extensive
- 27130 – Total hip arthroplasty, with or without autograft or allograft
- 27447 – Total knee arthroplasty, with or without allograft
- 29827 – Arthroscopy, shoulder, surgical; with rotator cuff repair