ASCs: 3 Tips Analyze Your ASC Coding Rules

Here’s how to properly use modifier SG. Suppose you bill Medicare when your surgeon treats a hip dislocation (27256), performs a knee joint revision (27440, 27446) or [...]

Posted on: 11 April 2017 | 5:04 am

You Be the Coder: Check Out Whether Unlisted-Procedure Codes Have Global Days

Question: I was wondering, does Medicare assign a global period for unlisted-procedure codes? For instance, if our orthopedic surgeon performs a core decompression of the femoral head, and we report 27299, [...]

Posted on: 11 April 2017 | 5:04 am

Reader Question: Beware Modifier 'Solutions'

Question: When we see a claims denial in our practice, some of our staff is quick to resubmit the claim with a modifier to “solve” the problem. That doesn’t work so [...]

Posted on: 11 April 2017 | 5:04 am

Reader Question: Arrange Follow-Up with Original Surgeon

Question: We have taken over post operative care on a patient who had surgery from another physician. We want to be sure we are billing only the post-op care. Do we [...]

Posted on: 11 April 2017 | 5:04 am

Telehealth: Always Ace Coding for Your E/M Telemedicine Services

Don’t forget POS code 02 on your telemedicine claims. With CPT® 2017, you’ve gained several new telemedicine concepts to master including a place of service (POS) code, [...]

Posted on: 11 April 2017 | 4:04 am

Separate Procedures: 2 Examples Sharpen Your Separate Procedure Claims

CCI is an important tool when you are not sure about a bundle. You shouldn’t assume a “separate procedure” is really separate, because CPT®’s definition of a [...]

Posted on: 11 April 2017 | 4:04 am

CPT® 2017: Have You Noticed a Difference to Your Bottom Line? Blame These Percutaneous Spinal Procedure Revisions

You should be separately billing for moderate sedation with percutaneous vertebral procedures. 2017 brought some revisions to coding for percutaneous spinal procedures, and you might already be [...]

Posted on: 11 April 2017 | 4:04 am

Reader Question: Strike Off 77003 for Fluoroscopy with Epidural Injections in 2017

Question: How can we report fluoroscopic guidance with epidural injections in 2017? What are the new codes we can anticipate? Are we going to use code 77003 going to use code [...]

Posted on: 7 March 2017 | 1:03 am

Reader Question: Only Report 23480 When Osteotomy Is Documented

Question: Our surgeon did an open repair and internal fixation with Vitoss bone graft for a non-union of the clavicle. The operative note stated that “rongeur and curette” were used. Does [...]

Posted on: 7 March 2017 | 1:03 am

Reader Question: How to Code Both Meniscal, Articular Knee Shavings

Question: My orthopedist performed the following knee procedure: “Examination of the patient’s right knee with the scope showed the effusion to be serous and this was washed free. [...]

Posted on: 7 March 2017 | 1:03 am