Insurance companies require that we bill our services to you using a coding system known as CPT, Current Procedural Terminology. The code used to describe fracture care is found in the "surgery" section of the CPT codebook. This does not mean we are implying that you had an operation. This is merely the way the CPT book is organized for ease of use by both the insurance companies and physicians.
According to CPT guidelines, fracture care is billed as a "packaged" service. This means that at the time of initital care, a bill is generated that includes evaluation of the fracture, the first cast or splint application, and 90 days of normal, uncomplicated, follow up care.
Items not included in the package or global service charge are x-rays, all casting supplies or durable medical equipment, evaluation and management of unrelated problems or injuries and treatment of complications.
Items not included are billed as separate charges.