Specialty Focus: Foot & Ankle Surgery

Surgical Billing,
Engineered for Precision.

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Ankle Arthroscopy

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Tendon Repair
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Trauma
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Fusion
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Arthroscopy

Select a surgical focus area on the scanner or list below to reveal the specific CPTs, modifiers, and documentation standards our certified orthopaedic coders master to secure your revenue.

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Tendon & Ligament Repair

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Intricate coding for Achilles tendon ruptures, lateral ligament reconstructions (Brostrom procedures), and complex tendon transfers. We ensure extensive anatomical modifiers (RT/LT) and allograft material codes are flawlessly applied to secure maximum facility and professional reimbursement.

Achilles Repair Allograft Coding Brostrom Procedures
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Trauma & Fracture Care

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Expert management of closed vs. open treatment codes, including internal fixation (ORIF) of bimalleolar, trimalleolar, and complex midfoot fractures. We meticulously separate initial trauma care from 90-day global period follow-ups using Modifiers 54 and 55.

ORIF Procedures 90-Day Global Periods Modifiers 54/55
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Joint Fusion (Arthrodesis)

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Specialized coding for triple arthrodesis, subtalar fusions, and Lapidus procedures. Arthrodesis often involves extensive hardware and bone grafts. We ensure every plate, screw, and autograft is billed out cleanly alongside the primary surgical CPT.

Hardware Billing Bone Grafts Triple Arthrodesis
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Ankle Arthroscopy

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Mastering the complex rules surrounding diagnostic vs. surgical arthroscopy. We expertly navigate NCCI edits to prevent debridement, synovectomy, and loose body removals from being bundled into primary surgical procedures illegally.

Diagnostic vs Surgical Synovectomy NCCI Edits

Surgical Billing is Complex.
We Make It Profitable.

Orthopaedic lower extremity surgery faces relentless scrutiny regarding global periods, surgical bundling, and hardware invoicing. Hover over the common challenges below to see how HBS secures your revenue.

Global Period Violations

Most reconstructive procedures carry a 90-day global period. Billing an E&M for an unrelated issue, or performing a staged/related procedure during this window triggers automatic denials without precise modifiers.
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The HBS Solution

We deploy automated global-period tracking. Our coders expertly apply Modifiers 24, 58, 78, and 79 to ensure you are legally paid for staged surgeries, complications, or unrelated visits within the 90-day window.

Surgical Bundling (NCCI)

Payers aggressively bundle distinct surgical maneuvers. For example, billing an extensive arthroscopic debridement is often wrongfully absorbed into the primary ligament repair CPT.
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The HBS Solution

We scrub every operative report against real-time National Correct Coding Initiative (NCCI) tables. We ethically unbundle distinct procedures using Modifier 59, 51, and strict anatomical markers (RT/LT) to secure full payment.

Unbilled Implants & Grafts

During complex fusions, surgeons utilize multiple screws, plates, and bone allografts. Generalist billers often fail to capture these high-cost items, resulting in massive revenue leaks.
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The HBS Solution

Our surgical coders cross-reference every operative note with the facility’s implant logs and invoices. We ensure every qualifying C-code, HCPCS code, and allograft is captured perfectly for reimbursement.

The HBS Surgical Advantage

We don’t just process claims; we function as a dedicated extension of your operative team. From capturing unbilled implants to fiercely defending against NCCI bundling, we transform your revenue cycle into a predictable asset.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches modifier 59 errors, global period overlaps, and invalid diagnosis links before the operative claim ever leaves our system.

48-Hour Turnaround

Supercharge your cash flow. We guarantee that your complex operative reports and trauma care superbills are coded and billed within 48 hours of receipt.

NCCI Edit Defense

We don't let payers illegally bundle your hard work. We identify separately billable procedures and apply rock-solid documentation to ensure every cut and repair is paid.

Average Surgical Revenue Lift (First 6 Months)

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+19% Lift
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Calculate Your Specific ROI

Stop Surgical Denials Today.

Let our specialized orthopaedic billing team audit your current operative reports. Discover exactly where your revenue is leaking on unbundled procedures and missed implants.
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Optimize Your Revenue Cycle with HBS

Partner with experienced RCM specialists to streamline billing, reduce denials, and improve cashflow.

+1 (818)-853-8889

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