Procedure Coding: We Got Your Back: Use FAQ to Master Disc Decompression, Discography Coding

Remember, injection for discography is diagnostic, and a decompression is therapeutic. If you see patients with back issues, your providers will likely often perform injection for discography [...]

Posted on: 29 November 2017 | 1:11 am

Reader Question: Ensure Fracture Payment with Initiation Note

Question:One of our orthopedists performed a closed treatment of a clavicular fracture without manipulation. I reported 23500, but the payer denied the claim. When I called the payer for an [...]

Posted on: 29 November 2017 | 1:11 am

You Be the Coder: Making the New/Established Patient Decision

Question: What is the difference between a new and established patient when reporting evaluation and management (E/M) services? Wisconsin Subscriber Answer: You'll code for [...]

Posted on: 29 November 2017 | 1:11 am

Reader Question: Keep RAC Targets on Your Compliance Radar

Question: I've been doing some reading about recovery audit contractors (RACs), and frankly it scared me. With all of the compliance hurdles for correct Medicare coding, the last thing I [...]

Posted on: 29 November 2017 | 1:11 am

Modifier Madness: Keep Calm, Carry on Coding with these Tips

Remember, some modifiers are for E/Ms; others are for procedures. Orthopedic offices see their share of fracture care patients. Often, coding for these patients is easy; the [...]

Posted on: 29 November 2017 | 1:11 am

Inside the Notes: Mind Each Payer's Preferences on Discography Claims

Remember to check with your payer for its approved ICD-10 list. When reporting discography procedures, you'll have a lot on your plate. You need to choose from [...]

Posted on: 29 November 2017 | 1:11 am

Reader Question: Postop E/M Might Require Modifier 24

Question: A patient developed a postoperative infection during the global period for ankle surgery, and returned to the operating room (OR). Can we bill the evaluation and management (E/M) hospital visit [...]

Posted on: 26 October 2017 | 1:10 am

Reader Question: Use these Tips to Sort Out CCI Indicator 1

Question: I was looking up Correct Coding Initiative (CCI) edits for 99221 and 99212, and I saw the edits have a modifier indicator of 1. What does this mean?

Posted on: 26 October 2017 | 1:10 am

Reader Question: Check for these Elements, then Choose HPI Level

Question: What elements should we look for when selecting the history of present illness (HPI) level? North Dakota Subscriber Answer: The history of present illness (HPI) [...]

Posted on: 26 October 2017 | 1:10 am

Reader Question: Try This Strategy for Iliopsoas Lengthening

Question: Our provider performed an arthroscopy with iliopsoas lengthening. We cannot find a CPT┬« code that lines up exactly with this procedure, so what can we report? Arkansas [...]

Posted on: 26 October 2017 | 1:10 am