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

Phys Sportsmed. 2005 Jun;33(6):32-45. doi: 10.3810/psm.2005.06.106.


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.