Sports medicine practice economics part 2: consultations, modifiers, and other codes.

Madden, Chris; Macintyre, James G; Joy, Elizabeth · Phys Sportsmed · 2005

expert_opinion · Level V

Where this comes from

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.