You Be the Coder: Reduction for Dislocation

Question: Our orthopedist completed a reduction in the office for a dislocation, placed a splint, and took postreduction films. Then, he completed another reduction of the same area, placed [...]

Posted on: 18 December 2016 | 7:12 pm

E/M: Benefit from These 4 Handy E/M Coding Tips or Lose Precious Dollars

Watch for chances to upcode the encounter. When reporting E/M encounters, you might end up raising red flags if you are always reporting the same [...]

Posted on: 18 December 2016 | 7:12 pm

Modifiers: Modifier 50 Is the Backbone to Your Bilateral Spinal Surgery Reimbursement

Ask your carriers how they want these surgeries reported to avoid reduced reimbursement. Spine surgeons who perform bilateral surgeries such as lumbar laminotomies (63030) should [...]

Posted on: 18 December 2016 | 7:12 pm

Reader Question: Multiple Units of 77002 May Cause Problems

Question:  When we perform multiple injections at the same time, can we report 77002 more than once? Colorado Subscriber Answer: Technically, you should be [...]

Posted on: 18 December 2016 | 7:12 pm

Ankles: Amp Up Your Ankle Fracture Claim Success By Answering 6 Questions

Be sure your diagnosis specifies whether the fracture was open or closed. Are you scratching your head when it comes to choosing the appropriate CPT® [...]

Posted on: 18 December 2016 | 7:12 pm

Reader Question: Verify Brace Fitting Purpose Before Billing

Question: Can we bill for a brace fitting prior to surgery? If so, what codes do we report? New York Subscriber Answer: Verify the [...]

Posted on: 18 December 2016 | 7:12 pm

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: 22 November 2016 | 9:11 pm

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: 22 November 2016 | 9:11 pm

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: 22 November 2016 | 9:11 pm

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: 22 November 2016 | 9:11 pm