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Orthopedic Coding Alert
Orthopedic Coding Alert
Orthopedic Coding Alert - 2011; Volume 14, Number 12
CPT® 2012 Update:
Arthrodesis, Laminectomy, Limb Compression, And Palmar Injections Top Your 2012 Changes List
Equip yourself with new codes and revisionsWith the 2012 codes being applicable, you will ...
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Coding Strategies:
Here's How to Confidently Code For Insertion, Removal, And Reinsertion Of Spinal Instrumentation
Approach, span and devices influence your claim If your surgeon provides spinal instru...
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ICD-10 Update:
Look For Regions To Report Radiculopathy
Single ICD-9 code spans to four codes in ICD-10. Radiculopathy is site-specific for sp...
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Billing & Collections:
Modifier Mythbuster: Clean Up Your Modifier 24 Claims By Learning the Truth About 5 Common Myths: Part 1
Focus on the surgeon's documentation, not the appointment book.If you want to ensure you g...
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Reader Question:
Report Triceps Tendon Rupture
Question: How do we report a triceps tendon rupture?Georgia SubscriberAnswer: You report 8...
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Reader Question:
Select One Code for Arthroscopy in Each Knee Compartment
Question: Our surgeon did an arthroscopic medial meniscus repair and lateral meniscectomy....
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Reader Question:
Lateral Release is Inclusive in Patellar Reconstruction
Question: For right knee patellar dislocation, tear medial patellofemoral ligament with he...
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Reader Question:
Do Not Report Casts Independently
Question: When correcting club feet by releasing the Achilles and then applying the cast d...
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You Be the Coder:
Simplify Reporting of Rotator Cuff Repair
Question: Can we report 29827 with modifier -22 (Increased Procedural Services:...) or -52...
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Orthopedic Coding Alert - 2011; Volume 14, Number 11
Coding Tips:
Ace Spinal Bone Graft Coding With These Expert Pointers
Graft source and extra services are your keys to correct codes.Coding for spinal bone graf...
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Follow This Advice to Capture Multiple Graft Services
When performing arthrodesis procedures at multiple levels, your surgeon may use more than ...
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ICD-10 Update:
Pay Attention to Laterality When Reporting Meralgia Paresthetica
Key: ICD-10 has different codes for the right and left limbs.Meralgia paresthetica may be ...
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ICD-9 Update:
2 New Multiple Pelvic Fracture Codes Improve Your Accuracy
Determine if fracture is open or closed to select the right code.As of Oct. 1, you'll have...
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Reader Question:
Identify Additional Procedures When Reporting Arthroscopies
Question: The surgeon did a left knee arthroscopy with lateral release and open medial pli...
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Reader Question:
Be Specific With Repair or Realignment in Finger Tendons
Question: What code do we use for a MCP capsulorrhaphy? The operative note reads: "At this...
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Reader Question:
Beware 29881 and 29887 Bundling
Question: Can I submit 29881 (Arthroscopy, knee, surgical; with meniscectomy [medial OR la...
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Reader Question:
Select the Right Code For Pseudotumor of Pelvis
Question: What code could I use for pseudotumor of pelvis? The surgeon indicates that the ...
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Reader Question:
Look For Extent of Debridement in Arthroscopy
Question: How do we report the arthroscopic excision of a detached anterior labral tear wi...
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Reader Question:
Fetch Full Payment for Pilon Fractures
Question: Our surgeon stabilized a pilon fracture using an external fixator and operated t...
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You Be the Coder:
Bundling in 29823 and 29824
Question: Our orthopedic surgeon did a debridement of the labrum along with a rotator cuff...
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Orthopedic Coding Alert - 2011; Volume 14, Number 10
Coding Strategies:
Perfect Your Vertebral Fracture Repair Coding With This Advice
Balloon and cement? Identify technique, levels and regions to recoup full payment. Whe...
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Coding Tips:
3 Steps Keep You On Track For Accurate Compartment Syndrome Claims
Hint: Compartment and debridement dictate the right code.When treating compartment syndrom...
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ICD-10 Made Easy:
Take The Pain Out Of Pain Dx: Get Confident On G89
Look for site specific codes and include psychological factors. G89 (Pain, not elsewhere c...
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Reader Question:
Count Each Tendon in Forearm Injury
Question: The surgeon did a wound exploration with irrigation and debridement, repair of e...
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Reader Question:
Learn More about Labral Repair
Question: How is code 29916 different from 29862 for labral repair procedures?Minnesota Su...
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Reader Question:
Select Right Code for ORIF Lower Leg
Question: What is the right code for distal tibia and fibula ORIF? The surgeon made two ...
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You Be the Coder:
Be Confident For Metacarpophalangeal Fixation
Question: The surgeon did a removal of trapezium, partial resection of trapezoid, an...
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Orthopedic Coding Alert - 2011; Volume 14, Number 9
Fracture Coding:
Solve Pilon Fracture Puzzles with These Tips
Hint: Bones and fixators guide you to the correct codes. When your surgeon treats pati...
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ICD-9/ICD-10 Crosswalk
...
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ICD-10 Update:
Lower Back Pain Dx Gets More Specific in 2013
Make sure you know the laterality with ICD-10. Non-remitting backache is a common complai...
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Coding Tips:
Bone Biopsy Strategies Help You Collect Deserved Payment
Clue: Biopsy depth helps point you to the correct code. If bone biopsy coding trips yo...
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Reader Question:
Select Appropriately for Spinal Instrumentation
Question: For a child with congenital scoliosis, our surgeon performed growth rod revisio...
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Reader Question:
Never Miss the Repeat X-ray
Question: An X-ray was taken after manipulation; the surgeon was not happy with the reduc...
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Reader Question:
Report Rotator Cup Open Repair
Question: Which is the correct code(s) for the procedure described below: "Arthroscopy in...
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Reader Question:
Use Distinct Codes for Stimulator Removal
Question: The patient had spinal surgery in the past and then had a stimulator implanted ...
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You Be the Coder:
Determine PEEK Cage Levels
Question: How do you code when the surgeon did corpectomies at C4 and C5, fusion(s) from ...
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Orthopedic Coding Alert - 2011; Volume 14, Number 8
Coding Strategies:
Know The Most Essential Facts To Report Facet Joint Injections
Count each level and check for your payers' preferences.When reporting facet joint injecti...
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ICD-9/ICD-10 Crosswalk
...
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Coding Tactics:
Follow These Can't Miss Strategies For Coding Open Fractures of Tibial Shaft
Hint: Nails and fixators are the best guides. In the May issue of Orthopedic Coding Alert,...
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Billing Challenges:
3 Steps Help Improve Your Collections by Finetuning Your A/R Process
Be diligent with denial follow-ups, or risk leaving money on the table.Economic uncertaint...
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Reader Question:
Select Best Codes for Stumps
Question How do we code when the operative note reads, "A transverse incision was made ove...
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Reader Questions:
Learn To Report the Lacerations
Question What ICD-9 code do we report when there is a large laceration which is partially ...
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Reader Questions:
Assure Correct Coding for ORIF In Leg Fractures
Question How do you code for a diagnosis of a comminuted distal tibial metaphyseal fractur...
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Reader Questions:
Feel Confident on Loose Bodies in the Knee
Question The Surgeon performed arthroscopic medial meniscectomy (29881). Large loose body ...
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You Be the Coder:
Count Every Laminotomy
Question: How do we report if the surgeon takes a paramedian approach and does osteotomies...
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Orthopedic Coding Alert - 2011; Volume 14, Number 7
Coding Strategies:
Capture The Correct Codes For Open Repair In An Unstable Shoulder
Process and records influence your claimsWhen your orthopedic surgeon treats a chronically...
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ICD-9/ICD-10 Crosswalk
...
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Modifier Review:
Advice Helps You Append Correct Modifiers For Upper Limb Fractures
Repetition of a procedure or service may not always mean additional payment You will o...
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Modifier Myths:
Dispel These Common Modifier 22 Myths
Correctly read and document the extra time spent and work doneIn our last issue, we looked...
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Correction:
Correction:
In Orthopedic Coding Alert Vol.14, N.5, page 30, we reported the following: "In addition, ...
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Reader Question:
Correctly Report Wound Care
Question: How does one report an irrigation and debridement, wound closure and placement o...
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Reader Question:
Spot the Spur in the Shoulder
Question: How does one report if the surgeon does 'arthroscopic removal of an acromial spu...
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Reader Question:
Multiple Injections May Not Mean More Payment
Question: If the surgeon gives 2 injections into the (same) knee in two separate locations...
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Reader Question:
Report Decompression at Ankle
Question: How does one report a code when the operative note reads "The thick retinaculum ...
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You Be the Coder:
Tackle the Achilles Tendon With Care
Question: How do you code for the following procedure? "Over the point of tenderness, 2 to...
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Orthopedic Coding Alert - 2011; Volume 14, Number 6
e Coding With These TacticsCoding Strategies:
Refine Your Tibial Shaft Fractur
Look to casts, nails, plates and fixators to guide your coding. While tibial fracture ...
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ICD-10 crosswalk:
ICD-10 crosswalk:
...
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Coding Tips:
Discern Views, Type for Correct Upper Limb X-Ray Coding
Views and modifiers in diagnostic X-rays can influence your paymentsYou code lots of diagn...
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Modifier Myths:
Dispel The Common Myths About Modifier 22
You can avoid an audit by not taking the modifier 22 for grantedYou may read through an op...
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Reader Questions:
Take These Steps When Reporting Arthroscopic Synovectomy with Chondroplasty
Question When doing arthroscopic synovectomy (29876) in all three compartments in the knee...
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Reader Questions:
Append Correct Modifiers for Toe Osteotomy and Reconstruction
Question Is it correct to code 28306-TA for left Foot first Metatarsal Mitchell Osteotomy ...
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Reader Questions:
Code Correct for Wound Dehiscence and Delayed Primary Closure
Question After a total knee replacement done three weeks ago, one of our patients develope...
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Reader Questions:
Discern the Osteochondral Defect
Question For an osteochondral defect in the medial aspect of the left femoral condyle, an ...
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You Be the Coder:
Report the Correct Code for Synovectomy
Question: Can you help me with the codes for the following procedure? One of our patients,...
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Orthopedic Coding Alert - 2011; Volume 14, Number 5
Coding Update:
Improve Your Tennis Elbow Claims Score: Make Reach, Repair, and Reattachment Your Winning Strategy
Tactics help you recoup deserved pay for 24357-24359.Tennis elbow claims faults can wreak ...
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Coding Strategies:
Simplify Your Spinal Osteotomies With These Tips
3 key factors you'll need to identify to avoid denials.When your orthopedic surgeon perfor...
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ICD-10 crosswalk:
Specify Kyphosis Type to Support Osteotomy Claims
To appropriately support your spinal osteotomies reporting, you'll need to indicate underl...
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Reader Questions:
Assess Total Knee Replacement
Question Can we bill code 27438 with 27487 for the revision of the total knee replacement ...
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Reader Questions:
Code Splint Replacements in Tibial Fractures
Question Is code 27752 appropriate for replacement of a splint after debridement of bliste...
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Reader Questions:
Scan for Arthroscopy Reason with Open Patella Debridement
Question How do you code an arthroscopy followed by an open patella debridement and remova...
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Reader Questions:
Assess Repeat Wound Irrigation in Hand Injury
Question Is it right to code 15852 if the surgeon planned a repeat irrigation debridement ...
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You Be the Coder:
Correctly Code Crush Injury of Hand
Question: We have a patient who had a severe crush injury of the left hand which led to a ...
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Orthopedic Coding Alert - 2011; Volume 14, Number 4
Procedure Coding:
Use These 3 Tips to Give Your PLIF Claims Wings
Remember to capitalize on separately reportable bone grafts.When your orthopedist performs...
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ICD-10 lookup
ICD-10 implementation is coming in 2013 and it's not too early to learn what those changes...
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E/M Coding:
Use ROS Smarts to Accurately Choose High-Level E/Ms
If each system's not documented, get ready to assign a lower code.If you incorrectly tally...
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News You Can Use:
Your 2011 Medicare Pay Is Safe -- For Now
Orthopedic practices can join other Part B providers in feeling relief over Congress' Dece...
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Reader Questions:
Determine X-stop Extent for Code Choice
Question: What should I report for removal of an X-stop? Would 22850 (Removal of posterior...
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Reader Questions:
Look to 22849 for Instrumentation Reinsertion
Question: When the surgeon removes instrumentation and reinserts the instrumentation at th...
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Reader Questions:
Separate Anterior and Posterior Approaches for Cervical Fusion
Question: Our surgeon performed a 3-level anterior cervical fusion w/corpectomy, discect...
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Reader Questions:
Remember That Global Starts Post-Procedure
Question: An established patient with degenerative scoliosis reports to the orthopedist fo...
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Reader Questions:
Mind CCI Edits on Lateral Releases
Question: Our orthopedist performed a total knee replacement with a lateral release using ...
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You Be the Coder:
CPT Gives You an Assist on Multi-Arthroscopy Encounters
Question: My orthopedist performed a medial and lateral meniscectomy on a patient, and als...
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Orthopedic Coding Alert - 2011; Volume 14, Number 3
Coding Strategies:
20526: Follow 3 FAQs to Unlock Carpal Tunnel Pay
Evidence of previous treatments a part of successful CTS shot claims.If you're coding for ...
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ICD-10 crosswalk
Once ICD-10 is implemented, the diagnosis codes in the above story will be different. Chec...
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Modifier Use:
Append Modifier 50 on Bilateral CTS Shots … Usually
Some modifier 50 rules could cause confusion come coding time.When the orthopedist injects...
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E/M Coding:
Take These Steps Before Considering Incident-To
Established plan of care a must to bill under physician's NPI.Orthopedic practices that ar...
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Reader Questions:
Use Add-On Codes to Account for All TLIF Codes
Question: During the same operative session, the orthopedic surgeon performed the follow...
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Reader Questions:
Terminology Provides Clues to Graft Differences
Question: What's the difference between a spinal allograft and an autograft?Answer: If the...
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Reader Questions:
Keep An Eye on New Modifiers
Question: What modifier changes should orthopedic practices know about for 2011?Answer: Th...
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You Be the Coder:
Ankle Fractures and Multiple X-Rays
Question: A new patient presents to the office suffering from an injured left ankle she ...
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Orthopedic Coding Alert - 2011; Volume 14, Number A
Fracture Care:
27780 or 27781? Choosing Incorrectly Could Cost Your Ortho Hundreds
Find out what manipulation means and test yourself with two scenarios.When your orthopedis...
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ICD-10:
Osteoarthritis Will Require Heightened Documentation in 2013
Unspecified location? Look to the M19 codes. When ICD-9 becomes ICD-10 in 2013, you wil...
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News You Can Use:
CMS Sets 2011 Conversion Factor -- Is Your Ortho Practice Ready?
Despite adjusted rate of 33.9764, changed RVUs should ensure that your payments will stay ...
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Tools:
Brush Up On These Ortho Acronyms to Decipher Operative Reports
Use these tips to better translate abbreviations into codes.Do you know your APL from your...
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Reader Question:
681.00-681.02: Get Specific With Tissue Infections
Question: Our surgeon treated a soft-tissue infection on a patient's finger. Which diagnos...
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Reader Question:
Equate 20610 For Trochanteric Bursa Injection
Question: How should I code injection of trochanteric bursa and sacral crest? My orthopedi...
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You Be the Coder:
97760: Count Post-Op Brace Fitting and Education Separate?
Question: Can my physician bill for a fitting and education of a brace during the postoper...
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