Common Extensor Tendon origin tear at DIP jt
Is the above CPT 26433? Is 26433 only for mallet injuries? Is the above the same as a mallet injury since it is at distal IP jt? I'm thinking that 26418 would be more appropriate. Thanks,
View ArticleMedicare MUE
All,Medicare has MUE's for Depo Medrol J1040, there max is 4. We have a provider who continually uses 6 cc's. For Medicare patients do we only bill the 4 or bill the 6 and write off any over the...
View Articleinjection documentation
All,With EMR limits, how are people currently documenting injections? We have a procedure note within the visit, but someone in our office is inquiring if the procedure note can just state "the knee...
View ArticleAssistant Surgeon
When either a physician or NP/PA assists in surgery, should the lead provider have to document what the assistant surgeon performed? I cannot find anything on any Medicare or CMS website that this is...
View ArticleOsgood schlatter's
It has a been awhile since I"ve had to code for an Osgood Schlatter's patient; I seem to recall that we still use the juvenile osteochondrosis code, even when they are past age 18, but I can't find...
View ArticleRisk Assessment Coding Help
Hi. My pain management practice is using 2 forms of risk assessment questioning for our pain management patients. One is computer-based - w/ staff assistance. The other is done on paper and interpreted...
View Article28112 Ostectomy, complete excision other metatarsal head (second, third or...
Is the above code billed for EACH metatarsal head excision regardless of incisions? I have a 2nd and 3rd MT excision done through one incision and the 4th done through a separate incision. Not sure...
View ArticleInsertion of Cement/Spine Questions
Ugh, spine guys are killing me lately. I have an MD who did TLIF, PSF but also inserted cement into a vertebral body to prevent collapse due to hemangioma. This is done at the same level as the TLIF....
View ArticleHip fracture repair with repair of abductor (gluteus minimus/medius)
Can you bill for the repair of the abductor seperately and if so what code would you use and if unlisted what would you compare it to, thanks for any input.
View ArticleGluteal Tendon Repairs
I wish they would develop a code for repair of gluteal tendons. I know this is an unlisted procedure, 27299, but I struggle to even find a good reference code! Any suggestions or tips?
View ArticlePRP with Biocartilage
Has anyone ever heard of their physician doing a PRP injection and mixing the PRP material with Biocartilage? Any resources or coding guidance would be appreciated.
View ArticleCPT code 96150 and 96151 only for CSW????
Hello, I have pain Physicians and NPs performing risk assessments on patients at each visit. I would like to use 96150 and 96151 in conjunction with E/M codes 99201-99204 and 99211-99214. I looked at...
View ArticleCPT 26116 - PER SITE OR SIZE
Does anyone know if this code is per finger or per mass? Dr. removed 6 masses and the MEU's are 2. thank you,
View ArticleThe AMA has released its plans for E/M codes
The AMA’s CPT Editorial Panel approved sweeping changes to documentation and code selection guidelines for evaluation and management codes. If finalized, the changes will shift the way practices select...
View ArticleCalcanealCuboid Arthrodesis CPT
CPT? MD suggests 28725 but everything I research states its for the talocalcaneal joint.
View ArticleHOSPITAL VISITS WAITING FOR SURGICAL CLEARANCE
We saw patient in hospital for fractured hip. Patient took Plavix the same morning that he had a fall. Physician states in consult that since patient took Plavix they will need to wait 5 days until...
View ArticleKNEE EXTENSOR MECHANISM REPAIR WITH ACHILLES ALLOGRAFT
I need help with the above CPT. Is this unlisted or 27380? If unlisted what is the comparison code.Thank you,
View ArticleLeft Hip Irrigation and debridement
I always struggle with these. Patient has left hip infection after total hip done 1 year ago. Description : Dissection carried down through the subcutaneous tissue. Immediately purulent material was...
View ArticleNew modifier 25 policies
It looks like Anthem is rolling out a couple of new policies for modifier 25. http://providernews.anthem.com/indiana/article/reimbursement-policy-update-modifier-25 One policy bars payment for E/Ms on...
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