Orthopedic Coding Alert
Next Time You Wonder About Coverage, Check Out This List
Have osteoarthritic knee patients? See number 3 Here's a look at some of the national coverage determinations you can find on the CMS Web site. Note: The number in parentheses is the manual section number. 1. NCD for Physician's Office Within an Institution -- Coverage of Services and Supplies Incident-to a Physician's Services (70.3) 2. NCD for Osteogenic Stimulators (150.2) 3. NCD for Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee (150.9) 4. NCD for Lumbar Artificial Disc Replacement (LADR) (150.10) 5. NCD for Durable Medical Equipment Reference List (280.1) 6. NCD for Prosthetic Shoe (280.10) 7. NCD for Routine Costs in Clinical Trials (310.1) 8. NCD for Vitamin B12 Injections to Strengthen Tendons, Ligaments, etc., of the Foot (150.6) 9. NCD for Prolotherapy, Joint Sclerotherapy, and Ligamentous Injections with Sclerosing Agents (150.7) Resource: You can find an index of NCDs and learn more about them at http://www.cms.hhs.gov/mcd/overview.asp.
Orthopedic Coding Alert
- Case Study:
Spot What's Missing to Prove You're a Lesion Excision Coding Ace
This foot-mass report requires you to dig deep for both CPT and ICD-9 The reports [...] - 3 Steps Steer You Clear of Excision Coding Snafus
Example 2 reveals why you need to watch for the narrowest margin When patients with [...] - Advanced Lesson:
Are You Up to Speed on CCI 14.0 Changes? Find Out Fast
3 questions help you get a grip on the most recent edits Still trying to [...] - You Be the Coder:
Tackle 25606 and 25607 Bundle
Question: One of our physicians did an "open reduction and percutaneous pinning of the right [...] - Reader Questions:
Failed Reduction Merits Modifier 52
Question: The orthopedic surgeon saw a patient in the emergency department for a medial elbow [...] - Reader Questions:
Report 20950 per Extremity
Question: How should I bill compartment pressure measurements? Louisiana Subscriber Answer: The appropriate choice for [...] - Reader Questions:
Stick to 29881 for Saucerization
Question: What is the proper way to report saucerization of a lateral discoid meniscus? North [...] - Reader Questions:
Follow the '72285 Includes 77003' Rule
Question: May I report CPT 77003 and 72285 together for the same service? [...] - Reader Questions:
Pick Apart 'Primary' vs. 'Secondary'
Question: For codes such as 27695, 27696 and 27698, what do the terms "primary" and [...] - Reader Questions:
1 Code Reports Tib and Fib Treatment
Question: What CPT codes should I report if the surgeon inserts a rod in the [...] - Reader Questions:
Check CMS Site for HCPCS Updates
Question: When do 2008 HCPCS codes go into effect? I thought it was Jan. 1, [...] - Guest Columnist:
Leslie Johnson, CPC: Pull From the 'Coding Toolbox' to Understand Payer Policies
NCDs and LCDs can light the path to a clean claim New coders soon learn [...] - Boost Your ABN Efficiency With NCD Know-How
3 steps help you use payer policies to your advantage Deciding when to get patients [...] - Next Time You Wonder About Coverage, Check Out This List
Have osteoarthritic knee patients? See number 3 Here's a look at some of the national [...] - Watch for NCD Works in Progress That Affect Your Services
If your practice wants coverage, here's how to speak up CMS alerts providers when it's [...]
