Anesthesia Coding Alert
Reader Question:
M62 Family Has Diagnoses for Nontraumatic Biceps Rupture
Published on Thu Jun 13, 2019
Question: The anesthesiologist documented “repair of biceps tear” as the procedure performed. What diagnosis should I file? Michigan Subscriber Answer: People often use the terms “rupture” and “tear” interchangeably, so begin your diagnosis search with “rupture” and narrow it to the upper arm region. The base diagnosis is M62.12 (Other rupture of muscle (nontraumatic), upper arm). Once there, you have three choices based on anatomic site: Take note: The M62 family of diagnoses represents nontraumatic ruptures. For traumatic rupture, you’ll turn to a different set of diagnoses.
Related Articles
Other Articles in this issue of
Anesthesia Coding Alert
- Modifier Refresher, 01999:
Don't Let 'Discontinued' Derail Your Claims
Follow 3 steps to keep modifier 53 claims on the right track. Surgeons and anesthesiologists [...] - Pain Management:
Get Clear on Diagnosis Options for Spinal Stenosis
Hint: Pay close attention to the specific area affected. Coding for a patient who’s been [...] - Compliance:
Say Goodbye to 1 Phase of HIPAA Security Programs
‘Phase 2’ of the audit program is no longer in effect. After being inundated with [...] - You Be the Coder:
Turn to This Code for Anesthesia During Kyphoplasty
Question: One of our doctors is questioning whether 01936 accurately reflects the work of an [...] - Reader Question:
Check Purpose of Epidural Before Reporting Anesthesia Services
Question: Are we allowed to bill MAC anesthesia for a caudal epidural that was administered [...] - Reader Question:
Consider 01996 for Postoperative Pain Management Check
Question: Is it appropriate to bill 99231 when our anesthesiologist visits the patient at bedside [...] - Reader Question:
Watch for Combination Diagnosis if Multiples Are Denied
Question: A private insurer has denied our claim for a pain management office visit for "missing/incomplete/invalid [...] - Reader Question:
Make Note of Dates When Anesthesia Service Changes After Midnight
Question: I am billing an OB case that started as a continuous labor epidural for [...] - Reader Question:
Verify That You're Selecting the Correct Crosswalk Code
Question: Our physician administered anesthesia while another physician inserted a vertebral artery catheter. The surgical [...] - Reader Question:
01990 Represents Anesthesia Support During Organ Harvest
Question: The anesthesiologist was present when a patient who had been declared brain-dead was taken [...] - Reader Question:
M62 Family Has Diagnoses for Nontraumatic Biceps Rupture
Question: The anesthesiologist documented “repair of biceps tear” as the procedure performed. What diagnosis should [...]
View All
