ACL: Score Points with Accurate ACL Coding With This Expert Advice

Start with 29888, but check global package and add-ons for your most complete claim. With football season in full swing, your orthopedic surgeon will probably [...]

Posted on: 23 November 2016 | 3:11 am

Reader Question: Count Regions to Determine Debridement Level

Question: The physician’s notes state, “Bursal side rotator cuff showed fraying diffusely, was debrided to no more than 15% thick, over the size of a half dollar.” Does the [...]

Posted on: 23 November 2016 | 3:11 am

Reader Question: Follow These Rules for Critical Care Claims

Question: CPT® states that a patient must be “critically ill or injured” in order to use critical care codes. Could you briefly explain what “critically ill or injured” means, [...]

Posted on: 23 November 2016 | 3:11 am

You Be the Coder: Check Out 28300 for Evans Procedure

Question: Our surgeon is a foot and ankle specialist, and he did an Evans procedure (lateral column lengthening) on a patient, and I am not sure how to code [...]

Posted on: 23 November 2016 | 3:11 am

Global package: Check Global Package and Graft Terminology Before Finalizing Your ACL Claim

Some extra services mean more codes — but many don’t. Don’t be too hasty when reporting additional procedures your orthopedist completes during ACL surgery. The [...]

Posted on: 23 November 2016 | 3:11 am

CPT® 2017: 5 Changes Will Update Your Sedation, Biomechanical Device, and Fracture Treatment Services

Plus: Don’t miss these biopsy, fluoroscopic guidance revisions. As you gear up for the end of the year, ‘tis the season to gear up for [...]

Posted on: 23 November 2016 | 3:11 am

Reader Question: No Modifier 26 for Your Own Equipment

Question: The physician used our X-ray equipment in the office to place the needle prior to a hip injection. He did not use the C-arm or what I would [...]

Posted on: 23 November 2016 | 3:11 am

Reader Question: Go In-Depth With 'Maintenance Therapy'

Question: Our insurers don’t allow us to pay for “maintenance therapy.” But where should our therapist draw the line? For example, suppose a patient successfully finished her rounds of [...]

Posted on: 7 November 2016 | 12:11 pm

Reader Question: October 2016 Brought New Postprocedure Haemorrhage, Hematoma Dx

Question: What are the changes for ICD-10 postprocedure haemorrhage codes for the spinal cord? North Carolina Subscriber Answer: The ICD-10 changes for post procedure [...]

Posted on: 7 November 2016 | 12:11 pm

Reader Question: Avoid Fracture Care Code When No Fracture Present

Question: If our physician sees a patient in the office and dictates that the patient does not have a fracture, but he’s going to treat it as a fracture, [...]

Posted on: 7 November 2016 | 12:11 pm