Oral Surgery Coding & Reimbursement Alert
CPT® Coding Strategies:
Perfect Your Dentoalveolar Excision Coding With These 3 Useful Tips
Hint: Don’t leave $240 on the table by failure to identify right type of repair. ... Read more
Perfect Your Dentoalveolar Excision Coding With These 3 Useful Tips
Hint: Don’t leave $240 on the table by failure to identify right type of repair. ... Read more
ICD-10 Coding:
Decide From Two Options When Reporting Diagnosis of Xerostomia
Hint: Don’t forget to report additional codes to identify alcohol or tobacco use. ... Read more
Decide From Two Options When Reporting Diagnosis of Xerostomia
Hint: Don’t forget to report additional codes to identify alcohol or tobacco use. ... Read more
Medicare News:
Be Informed About OIG's Takedown of Those Receiving Kickbacks
Latest technology and data analysis helps capture more than 300 offenders. If you are ... Read more
Be Informed About OIG's Takedown of Those Receiving Kickbacks
Latest technology and data analysis helps capture more than 300 offenders. If you are ... Read more
Medicare News:
Get a Thorough Understanding About Kickbacks and Self-Referrals
Don’t raise any red flags by falling into these loops inadvertently. As the Offi... Read more
Get a Thorough Understanding About Kickbacks and Self-Referrals
Don’t raise any red flags by falling into these loops inadvertently. As the Offi... Read more
Reader Question:
Base Laceration Repair Code on Length and Complexity of The Wound
Question: Our oral surgeon recently reviewed a 21-year-old established male patient... Read more
Base Laceration Repair Code on Length and Complexity of The Wound
Question: Our oral surgeon recently reviewed a 21-year-old established male patient... Read more
Reader Question:
Choose Maxillary I&D Codes Based on Origin of Abscess
Question: Our oral surgeon recently performed incision and drainage of an abscess o... Read more
Choose Maxillary I&D Codes Based on Origin of Abscess
Question: Our oral surgeon recently performed incision and drainage of an abscess o... Read more
You Be the Coder:
Get Clarity on Reporting Wilke Procedure With Submandibular Excision
Question: Our surgeon recently performed Wilke’s type of surgical correction ... Read more
Get Clarity on Reporting Wilke Procedure With Submandibular Excision
Question: Our surgeon recently performed Wilke’s type of surgical correction ... Read more
Mythbuster:
Watch These 3 Arthrocentesis Myths That Could Prove Costly
Hint: Guidelines for arthrocentesis coverage may vary from payer to payer. When your c... Read more
Watch These 3 Arthrocentesis Myths That Could Prove Costly
Hint: Guidelines for arthrocentesis coverage may vary from payer to payer. When your c... Read more
Medicare News:
Save Precious Dollars For Your Practice by Making Full Use of JW Modifier
Watch for new Medicare ruling on JW modifier for discarded drugs. If you are losing ou... Read more
Save Precious Dollars For Your Practice by Making Full Use of JW Modifier
Watch for new Medicare ruling on JW modifier for discarded drugs. If you are losing ou... Read more
ICD-10 Coding:
Zero in on Specific Code For Oral Hairy Leukoplakia Reporting
Hint: Don’t get confused with diagnosis with similar terms. When your clinician ... Read more
Zero in on Specific Code For Oral Hairy Leukoplakia Reporting
Hint: Don’t get confused with diagnosis with similar terms. When your clinician ... Read more
Reader Question:
Looking For Modifiers For Procedures By Two Different Specialists? Think Again
Question: Our surgeon recently performed a tongue biopsy on a patient while the pat... Read more
Looking For Modifiers For Procedures By Two Different Specialists? Think Again
Question: Our surgeon recently performed a tongue biopsy on a patient while the pat... Read more
Reader Question:
Improve Efficiency of Checking Patient Info Without Negative Reactions
Question: In our practice, we have a policy of annually updating important informat... Read more
Improve Efficiency of Checking Patient Info Without Negative Reactions
Question: In our practice, we have a policy of annually updating important informat... Read more
You Be the Coder:
Select One or Two Codes For Multiple Stone Removals? Wonder Not
Question: Our surgeon recently removed two stones from the parotid gland. For one s... Read more
Select One or Two Codes For Multiple Stone Removals? Wonder Not
Question: Our surgeon recently removed two stones from the parotid gland. For one s... Read more
ICD-10 Update:
Be Aware of These 5 Proposed ICD-10 Changes For Oral Surgery in 2017
Hint: You will now have to look at documentation to identify “affected” side... Read more
Be Aware of These 5 Proposed ICD-10 Changes For Oral Surgery in 2017
Hint: You will now have to look at documentation to identify “affected” side... Read more
CCI 22.1 Update:
Watch Out For Latest CCI Edits Bundling IV Infusions with Oral Surgical Procedures
Good news: You don’t have to worry a lot about these changes. If you have had a ... Read more
Watch Out For Latest CCI Edits Bundling IV Infusions with Oral Surgical Procedures
Good news: You don’t have to worry a lot about these changes. If you have had a ... Read more
Patient Records:
Assess Patient Satisfaction Through Communication and Online Tools
Maximize options for collecting feedback to help reach out to more patients. In order ... Read more
Assess Patient Satisfaction Through Communication and Online Tools
Maximize options for collecting feedback to help reach out to more patients. In order ... Read more
Patient Records:
Get a Hold on Handling Subpoenas Demanding Access to Patient Info
Valuable tip: You do not have to provide access unless you get a judge’s decree. ... Read more
Get a Hold on Handling Subpoenas Demanding Access to Patient Info
Valuable tip: You do not have to provide access unless you get a judge’s decree. ... Read more
Reader Question:
Reporting 41010 For Lower Lip Frenotomy? Not so Fast
Question: Our surgeon recently performed incision of frenum of upper and lower lip.... Read more
Reporting 41010 For Lower Lip Frenotomy? Not so Fast
Question: Our surgeon recently performed incision of frenum of upper and lower lip.... Read more
You Be the Coder:
Check Approach to Report Appropriate Submandibular Drainage Codes
Question: Our oral surgeon recently performed drainage of the submandibular space. ... Read more
Check Approach to Report Appropriate Submandibular Drainage Codes
Question: Our oral surgeon recently performed drainage of the submandibular space. ... Read more
CPT® Coding Strategies:
Ace Sialolithotomy Reporting With These 4 Useful Tips
Hint: Look also for approach for parotid sialolithotomy procedures. When your surgeon ... Read more
Ace Sialolithotomy Reporting With These 4 Useful Tips
Hint: Look also for approach for parotid sialolithotomy procedures. When your surgeon ... Read more
E/M Coding:
Be Informed About the Importance of HPI in Determining Your E/M Level
Ensure that payer recognizes ‘duration’ before counting it on HPI. Wheneve... Read more
Be Informed About the Importance of HPI in Determining Your E/M Level
Ensure that payer recognizes ‘duration’ before counting it on HPI. Wheneve... Read more
Compliance:
Check How Verification Delays Can Cost Your Practice Hundreds of Dollars
Experts: Make sure patient’s insurance info is valid before first visit. In your... Read more
Check How Verification Delays Can Cost Your Practice Hundreds of Dollars
Experts: Make sure patient’s insurance info is valid before first visit. In your... Read more
Reader Question:
Watch Reduction and Fixation Type For Apt Fracture Reporting
Question: I am new to surgery coding. When reporting treatment of fractures, for ex... Read more
Watch Reduction and Fixation Type For Apt Fracture Reporting
Question: I am new to surgery coding. When reporting treatment of fractures, for ex... Read more
Reader Question:
Thinking About Giving EOB Explanations to Patients? Here's How
Question: We often get patients who call the practice with questions about their ex... Read more
Thinking About Giving EOB Explanations to Patients? Here's How
Question: We often get patients who call the practice with questions about their ex... Read more
You Be the Coder:
Base Removal of AVM Reporting on Method Used
Question: Our surgeon recently performed a removal of a vascular malformation in th... Read more
Base Removal of AVM Reporting on Method Used
Question: Our surgeon recently performed a removal of a vascular malformation in th... Read more
CPT® Coding Strategies:
Distinguish Between Biopsy and Excision For Apt Reporting of Lip Lesion Removals
Hint: Wait for path reports for reporting of excision or destruction of lip lesions. W... Read more
Distinguish Between Biopsy and Excision For Apt Reporting of Lip Lesion Removals
Hint: Wait for path reports for reporting of excision or destruction of lip lesions. W... Read more
ICD-10 Coding:
Lean Towards K13.4 For Granuloma and Granuloma-like Lesion Reporting
Don’t forget to report alcohol or tobacco use with an additional code. When your... Read more
Lean Towards K13.4 For Granuloma and Granuloma-like Lesion Reporting
Don’t forget to report alcohol or tobacco use with an additional code. When your... Read more
Patient Relations:
Avoid Patient Relationship Getting Affected by Delayed Record Requests
Don’t get into legal hassles by postponing patient demands for records. You migh... Read more
Avoid Patient Relationship Getting Affected by Delayed Record Requests
Don’t get into legal hassles by postponing patient demands for records. You migh... Read more
Reader Question:
Base Parotidectomy Code Selection on Lobes Removed and Facial Nerve Dissection
Question: Our surgeon performed superficial parotidectomy with nerve dissection for... Read more
Base Parotidectomy Code Selection on Lobes Removed and Facial Nerve Dissection
Question: Our surgeon performed superficial parotidectomy with nerve dissection for... Read more
Reader Question:
Don't Forget to Ensure Claim Forms Have Valid Signatures to Avoid Denials
Question: I’m having trouble getting my physicians to sign their claim forms.... Read more
Don't Forget to Ensure Claim Forms Have Valid Signatures to Avoid Denials
Question: I’m having trouble getting my physicians to sign their claim forms.... Read more
You Be the Coder:
Check Global Period to Correctly Report Follow-up Biopsy Procedure
Question: Our surgeon recently performed biopsy in the area of the floor of the mou... Read more
Check Global Period to Correctly Report Follow-up Biopsy Procedure
Question: Our surgeon recently performed biopsy in the area of the floor of the mou... Read more
CPT® Coding Strategies:
Watch Graft and Anatomical Location to Zero in on Right Vestibuloplasty Code
Hint: You will need to report an additional code to report the graft. When your surgeo... Read more
Watch Graft and Anatomical Location to Zero in on Right Vestibuloplasty Code
Hint: You will need to report an additional code to report the graft. When your surgeo... Read more
ICD-10 Coding:
Look Towards K14.1 For Reporting Diagnosis of Geographic Tongue
Don’t forget to report alcohol or tobacco use with an additional code. When your... Read more
Look Towards K14.1 For Reporting Diagnosis of Geographic Tongue
Don’t forget to report alcohol or tobacco use with an additional code. When your... Read more
Compliance:
Understand What You Need to Consider Prior to Opting out of Medicare
Know the difference between a covered service and a service that is reimbursable. If y... Read more
Understand What You Need to Consider Prior to Opting out of Medicare
Know the difference between a covered service and a service that is reimbursable. If y... Read more
Reader Question:
Don't Report Debridement Prior to Flap Repair Separately
Question: Our surgeon recently repaired a gunshot victim’s facial and lip wou... Read more
Don't Report Debridement Prior to Flap Repair Separately
Question: Our surgeon recently repaired a gunshot victim’s facial and lip wou... Read more
Reader Question:
Reporting Same Level E/M for Follow-up Visits? Watch Out
Question: Our surgeon recently saw a patient who was suffering from an abs... Read more
Reporting Same Level E/M for Follow-up Visits? Watch Out
Question: Our surgeon recently saw a patient who was suffering from an abs... Read more
You Be the Coder:
Know Your Options for Reporting Intermaxillary Screw Fixation
Question: Our surgeon recently performed intermixed maxillary mandibular fixation u... Read more
Know Your Options for Reporting Intermaxillary Screw Fixation
Question: Our surgeon recently performed intermixed maxillary mandibular fixation u... Read more
CCI 22.0 Update:
Consider These CCI 22.0 Edits While Reporting Oral Surgery Procedures
Don’t forget to pay attention to modifier indicators. Several bundles in the lat... Read more
Consider These CCI 22.0 Edits While Reporting Oral Surgery Procedures
Don’t forget to pay attention to modifier indicators. Several bundles in the lat... Read more
CPT® Coding Strategies:
Ace Foreign Body Removal Reporting With These Useful Tips
Hint: Don’t forget to report 7th character while reporting appropriate diagnosis c... Read more
Ace Foreign Body Removal Reporting With These Useful Tips
Hint: Don’t forget to report 7th character while reporting appropriate diagnosis c... Read more
Compliance:
Receive Deserved Reimbursement for Uncovered Services With ABNs
ABN protocols can have residual effects on patient relations. If you don’t want ... Read more
Receive Deserved Reimbursement for Uncovered Services With ABNs
ABN protocols can have residual effects on patient relations. If you don’t want ... Read more
Reader Question:
Don't Forget to Report Cause Separately When Reporting Injuries
Question: Our surgeon recently treated a patient for a gunshot wound from a pistol ... Read more
Don't Forget to Report Cause Separately When Reporting Injuries
Question: Our surgeon recently treated a patient for a gunshot wound from a pistol ... Read more
Reader Question:
Looking to Hire a Locum? Here's How You Can
Question: We have a physician that is taking a six-month sabbatical soon, and we ne... Read more
Looking to Hire a Locum? Here's How You Can
Question: We have a physician that is taking a six-month sabbatical soon, and we ne... Read more
You Be the Coder:
Stick to Unlisted Code For RFA of the Palate and Uvula
Question: Could you please help me with the following in-office procedure? The diag... Read more
Stick to Unlisted Code For RFA of the Palate and Uvula
Question: Could you please help me with the following in-office procedure? The diag... Read more