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Orthopedic Coding Alert

You Be the Coder:

Reevaluate This Repair, Debridement, Resection Scenario

Published on Tue Aug 05, 2014

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Orthopedic Coding Alert

Shoulder:
Refer to These Rotator Cuff Upgrade Strategies to Guarantee Your Claim's Success
Is your payer’s advice lacking? Here’s how to create internal guidelines for chronic/acute conditions. Upgrading [...]

E/M:
Watch Out: Adult E/M Criteria May Not Apply to Pediatric Patients
You may be able to substitute notes to justify a higher-level E/M. As summer time [...]

ICD-10:
Don't Wrestle With Which Wrist Sprain to Report in 2015
Tip: You’ll need to specify the joint and the side. When a patient presents with [...]

Reader Question:
Toss 27705 As an Option for Fulkerson Procedure
Question: My orthopedist did an anteromedial tibial tubercle transfer (Fulkerson procedure). Should I report 27705? Delaware [...]

Reader Question:
Turn To 64493 for Lumbar Pars Injection
Question: For a patient who is diagnosed with lumbar pars defect, can we report code 64493 [...]

Reader Question:
Keep An Eye on the Calendar
Question: The CPT® surgery guidelines state that the surgical package includes “one related E/M encounter on [...]

Reader Question:
Watch Pin Removal Place of Service
Question: One of my surgeons is billing out an in-office pin removal during the post-op period [...]

Reader Question:
Assess Risk on a Regular Basis
Question: We are having a bit of a debate in our practice. Some of us [...]

You Be the Coder:
Reevaluate This Repair, Debridement, Resection Scenario
Question: According to my orthopedist’s op note, the patient underwent a medial meniscal repair with debridement [...]

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