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Orthopedic Coding Alert - 2024; Volume 27, Number 8
ICD-10 2025:
Codes for Synovitis, Disc Degeneration Highlight New Additions
Unspecified condition now has codes for specific body areas. ICD-10 just settled on its l...
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Medicare Physician Fee Schedule:
Here’s the Big News in the 2025 Proposed Rule
Big surprise: Another rate cut is coming. The Centers for Medicare & Medicaid Servic...
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E/M Coding:
Know These 4 Things to Bill 99211 Correctly
And learn these three reasons for not reporting it. When one of your clinical staff memb...
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Reader Questions:
Do This to Get to Chronic Gout Dx
Question: Encounter notes indicate that a patient is suffering from chronic gout. Ho...
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Reader Questions:
1 Code to Rule Them All for This Surgery
Question: The surgeon performs arthrodesis of the carpometacarpal joint in a patient'...
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Reader Questions:
Find CERT Info via Hub
Question: Are there any resources available to help folks navigate the Center for Med...
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You Be the Coder:
Testing for Sciatica
Question: A patient with degenerative disc disease reports to the orthopedist complai...
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Orthopedic Coding Alert - 2024; Volume 27, Number 7
Fracture Primer:
Break Fracture Care Down to Brush Up on Basics
Do you know what a greenstick fracture is? Fractured bones are an orthopedic practice's ...
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Compliance:
Address These Key Fields, Complete ABNs With Ease
Don't forget that every ABN form must be one single page. As every practice is aware, c...
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Documentation:
Study These Strategies for Setting Up a Solid CDI Process
Realize the benefits of regular self-audits. Comprehensive clinical documentation is the...
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Reader Questions:
Rely on Anatomical Area for This Calf Injury Dx
Question: Encounter notes indicate a patient suffers from “crushing injury, L calf....
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Reader Questions:
Find Flexibility in Delegating Prior Authorizations
Question: If a patient's prescribed medication needs a prior authorization from their...
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Reader Questions:
Give Patients Tools to Boost Staff Morale
Question: How can I boost employee morale and keep track of all the great things my t...
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You Be the Coder:
Bruised Chest and Ribs
Question: A new patient presents to the orthopedist after falling from a hotel balcon...
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Orthopedic Coding Alert - 2024; Volume 27, Number 6
Spinal Surgery:
Code Differently for Arthrodesis for Spinal Deformity
Knowledge of deformity types will help, too. When a patient reports to the orthopedist fo...
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Modifiers:
Avoid These 5 Modifier 59 Errors to Keep Pay Flowing
Plus: Find out the 2024 news that changes one modifier 59 rule. What would you do if 40 ...
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Compliance:
Fight for Your Right to Appeal and Win
Insurance companies aren't advocating for your office; that's your job. During her HEALTH...
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Reader Questions:
Get Specific With Bone Cyst Dx
Question: Encounter notes indicate that a patient has a solitary bone cyst on their s...
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Reader Questions:
Understand These CMN Basics
Question: My billing supervisor erased data that the doctor wrote on a certificate of...
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Reader Questions:
Go ‘High’ for This Disc Disorder Code
Question: Encounter notes indicate that a patient is suffering a high cervical disc d...
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You Be the Coder:
Bunionectomy With Sesamoidectomy
Question: Encounter notes indicate that a patient reports to the surgeon with a bunio...
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Orthopedic Coding Alert - 2024; Volume 27, Number 5
Fracture Care:
Know Ankle Anatomy, Fracture Types for Optimal Coding
Do you know what a trimalleolar fracture involves? Patients reporting to the orthopedist ...
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Surgery:
Use These Tips for Successful Corpectomy Claims
Know that approach is vital to coding. Patients reporting to the surgeon for vertebral ...
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Technology:
Evaluate Your Claims Before Submission by Adding AI to Your Revenue Cycle
Let AI handle simple coding cases to improve productivity. Healthcare has enjoyed a fron...
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Reader Questions:
Size of This Defect Type Matters
Question: If a patient suffers an intervertebral annulus fibrosis defect in the lumba...
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Reader Questions:
Be Sensitive When Gathering Demographic Information
Question: I work as a scheduler and recently heard a colleague on the phone with a pa...
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Reader Questions:
Use NOS Code for Backache Dx
Question: If a patient is diagnosed with “backache” and there is no other inform...
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You Be the Coder:
Diagnostic Hip Arthroscopy Turns Surgical
Question: Encounter notes indicate that the orthopedist decided to perform a diagnost...
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Orthopedic Coding Alert - 2024; Volume 27, Number 4
Surgery:
Take These Tips to Tackle TKR Coding Head-On
A single surgical code doesn't mean TKR is easy to report. When a patient requires total ...
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E/M Coding:
Answer the How, What, When, and Why for Preoperative Evaluations
Don't forget to check for comorbid conditions. Knowing how to navigate and select all o...
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Compliance:
Final Rule Aims to Improve Interoperability and Access to Care
Plus: Feds finalize new API requirements and a MIPS measure, too. After the pandemic re...
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Reader Questions:
Know Which Finger Is ‘Triggered’ for Correct Dx
Question: Encounter notes indicate that a patient suffers from “L trigger finger....
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Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) con...
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Reader Questions:
Know US Differences
Question: What's the difference between a complete and limited joint ultrasound (US)?...
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Reader Questions:
Sidestep Contusion Confusion With These Codes
Question: Our foot specialist recently examined a patient presenting with a bruise o...
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Reader Questions:
Employ Protections for Patient Signatures
Question: In our recent risk evaluation, we discovered that the electronic signatures...
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You Be the Coder:
Golfer’s Elbow Diagnosis, Tx
Question: Encounter notes that a patient reports to the orthopedist with complaints o...
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Orthopedic Coding Alert - 2024; Volume 27, Number 3
News You Can Use:
CPT® Presents Updated Unlisted Procedure Guidelines
Multiple unlisted procedures? You can report them all now. The latest issue of CPT® Assi...
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Condition Spotlight:
Head to Surgery Section for Some Scoliosis Treatments
Condition typically confirmed by imaging. When a patient has scoliosis, their treatment r...
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Injection Coding:
Joint Size Vital to Coding Arthrocentesis Shots
Use vague CPT® descriptors to approximate unlisted joints. Swollen or painful joints ar...
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Reader Questions:
Use Descriptors to Decide Superficial, Deep Biopsies
Question: How should I report a bone biopsy, and how do I determine a superficial bon...
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Reader Questions:
Exact Location a Necessity for Cystic Meniscus Dx
Question: Encounter notes indicate that the physician treated a patient with “cyst...
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Reader Questions:
Levels Matter on Medicare Appeals
Question: I filed a claim for a Medicare Part B patient with my Medicare Administrati...
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You Be the Coder:
Bilateral Rib Fractures
Question: After a level-four office evaluation and management (E/M) service for an es...
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Orthopedic Coding Alert - 2024; Volume 27, Number 2
Case Study Corner:
Put Pieces Together to Code These Vertebral Fx Scenarios
When a snowboarder falls, can you code the treatment? In last month's article “I.D. Ope...
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ICD-10 Coding:
Get Details Before Choosing Other Spondylopathy Dx
Particulars are vital on this ‘general' code set. With a pretty generic descriptor, ...
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E/M Coding:
Refresh Yourself on Recent Hospital Coding Rules Changes
Do you remember which inpatient services share codes now? The last few editions of the CP...
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Reader Questions:
Remember Code First Note on Arthropathy
Question: If a patient suffers from shoulder arthropathy as a result of sickle cell d...
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Reader Questions:
Be Specific With Complication Dx
Question: If a patient suffers from an intra- or postoperative complication involving...
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Reader Questions:
2 Effusions Mean 1 Effusion Dx Code
Question: If a patient suffers from effusion of the same ankle and foot, should I su...
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You Be the Coder:
Capsulotomy and X-Ray Encounter
Question: An established patient suffering from rheumatoid myopathy with rheumatoid a...
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Orthopedic Coding Alert - 2024; Volume 27, Number 1
2024 MPFS:
CMS, CPT® Finally Agree on Split/Shared Visit Rules
Revision puts emphasis on substantive E/M portion. It's 2024, the year everything lined u...
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CPT® 2024 Review:
Check Out This Last-Minute Code Check for 2024
New code book includes small helping of new spine codes and revisions. The 2024 CPT® cha...
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Surgery:
I.D. Open/Closed Before Reporting Vertebral Fx Fix
Also, look for imaging studies to pinpoint fracture. When your surgeon evaluates a vert...
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Reader Questions:
Find Anatomical Location, Then Choose Neuroplasty Code
Question: Encounter notes indicate that the surgeon performed a neuroplasty. How shou...
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Reader Questions:
You’ll Have to Use Unlisted Codes for This Facet Joint Destruction
Question: Encounter notes indicate that the surgeon performed destruction of a single...
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Reader Questions:
Identify This Achilles Tendon Injection Situation
Question: The patient was brought to the table and laid in prone position. Their righ...
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Reader Questions:
Get to the Bottom of This Osteotomy Scenario
Question: I have this very barebones operative report from one of our surgeons. Here'...
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You Be the Coder:
Guidance With Intervertebral Aspiration
Question: Encounter notes indicate that the surgeon performed percutaneous interverte...
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