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Orthopedic Coding Alert

Reader Questions:

Knock Down SLAP Lesion Concerns With Coding Smarts

Published on Thu Oct 08, 2020

Question: Notes indicate that the surgeon performed a level-four evaluation and management (E/M) service for an established patient with shoulder instability. She diagnoses a SLAP (superior labral tear from anterior to posterior) lesion, and schedules surgery for the patient. The next day, the surgeon performs a SLAP lesion repair on the patient’s left shoulder. How should I code this encounter? [...]
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