ED Coding and Reimbursement Alert
Don't Report Bandage Wrap as Strapping Unless Payer Allows It
Nevada Subscriber
Answer: Yes, you can report the ACE bandage supply--but on the facility side, not under your physician. You should also make sure your payer considers this a strapping procedure before filing the claim.
Remember: To some payers, wrapping a digit with an ACE bandage does not constitute strapping. These payers will want to see the proper-level evaluation and management code for the service rather than the strapping code. If you are unsure of your payer's policy on strapping claims, contact a representative before filing this claim.
If your payer considers ACE bandage wrapping strapping, you should:
- report 73120 (Radiologic examination, hand; two views) for the x-ray.
- report 29280 (Strapping; hand or finger) for the strapping.
- report A6449 (Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard)
ED Coding and Reimbursement Alert
- Choose Observation Code Based on Length of Patient Stay
Learn to ID observations, which pay about 60 percent more than E/Ms
When your ED physician [...] - 4 Questions to Ask Before Filing Critical Care Claim
Do you know what services are bundled into 99291, 992927
Coding for critically ill patients can [...] - You Be the Coder:
Choosing Between Simple, Complicated FBR Codes
Question: A patient presents complaining of arm and finger pain, contusions to her upper arm [...] - Submit Separate Reports for Critical Care and E/M Claims
What you need to know about a little-known, correct coding strategy
Although critical care codes are [...] - READER QUESTIONS:
In the ED, Physicians Usually Perform Closed Treatment
Question: What is the difference between an open and closed fracture treatment?
California Subscriber
Answer: You-ll [...] - READER QUESTIONS:
Don't Report Bandage Wrap as Strapping Unless Payer Allows It
Question: A patient reports with a swollen right ring finger. The physician performed an x-ray [...] - READER QUESTIONS:
Clear Up Filing Deadline Issues With Chart
Question: Our ED keeps getting denials because we are missing timely filing deadlines. However, with [...] - READER QUESTIONS:
Choose Single ICD-9 Code to Represent Aortic/Mitral Value Condition
Question: Our ED physician conducted a 12-lead electrocardiogram (EKG) on a patient diagnosed with stenosis [...]
