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I am having an issue with a medical bill for a basic splint I got for a broken elbow. I am being charged $341.79 for a visit that literally consisted of about 2 or 3 minutes with the doctor followed by about 2 minutes with a PA that applied a $26 off the shelf 3M splint to my arm.

I contacted my insurance company twice and one time they weren't sure and another they said that casts and splints are considered surgery (even though there seem to actually be coding specifically for applying a splint and couldn't offer any further explanation.)

This is an absolutely ridiculous charge for doing nothing that someone with fairly basic first aid training couldn't have done. Is this actually legit or is this something I should try to fight?

closed as off-topic by Gunge, kenorb, Lucky, JohnP Oct 19 '16 at 15:22

This question appears to be off-topic. The users who voted to close gave this specific reason:

  • "Questions requesting personal medical advice are off-topic here. Nobody here can properly address your health issues. Such questions should be taken to your personal physician who can examine you and access your full medical records. For more information, please see this meta post." – Gunge, kenorb
If this question can be reworded to fit the rules in the help center, please edit the question.

  • This is off-topic as it is a legal issue. – Gunge Oct 14 '16 at 7:33
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    @jjosaur I wasn't sure if it would be or not. There seems to be almost zero publicly available information on coding so I'm not sure how anyone is supposed to navigate this or verify their billing. Perhaps a more general question about that would work? – AJ Henderson Oct 14 '16 at 13:01
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    I'm voting to close this question as off-topic because as JJosaur said it is about a legal matter not health per se. – Lucky Oct 16 '16 at 15:32
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From what I've been able to gather, it appears that treatment of a broken bone is in the same group of codes as surgery because of the after care. The coding is supposed to include follow up care for 90 days if the info I found was correct.

It appears it should only be applying a splint if the splint is a one off without after care.

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