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Podiatry Coding Alert
Podiatry Coding Alert
Podiatry Coding Alert - 2009; Volume 1, Number 6
Dig Into Details to Decipher Lesion and Tumor Codes
Growth characteristics, size, and depth give handy clues to accurate coding. If your paye...
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Distinguish Lesions From Tumors
A lesion is any localized area of diseased or dead tissue. While lesions may be located on...
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3 Tips Unlock the Secrets of Modifier 59 Success
Separate sites, modifier indicators hold clues to proper use. When your podiatrist perfor...
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Capitalize on Physician's After Hours Services
Show your payer the cost of not paying on after-hours codes. If your practice is open dur...
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Correction:
Avulsion of Nail Plate
Podiatry Coding Alert Volume 1, Number 2 contained a partially incorrect answer to the av...
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READER QUESTIONS:
Bill Separately for Distinct Joint and Tendon Procedures
Question: My podiatrist fused the proximal interphalangeal joint (PIPJ) of a patient's bi...
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READER QUESTIONS:
Injury Location Determines FB Removal Code
Question: Our clinic performed minor surgery on a patient to remove a metal fragment from...
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READER QUESTIONS:
Report Only One Surgery Type at a Time
Question: I am new to podiatry and I need help with billing tenotomy cases. How many time...
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READER QUESTIONS:
Distinguish Pain Killing Agents in Plantar Injections
Question: Our clinic has a number of patients seeking treatment for pain in the sole of t...
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READER QUESTIONS:
Prove Medical Necessity Before Billing House Calls
Question: Our podiatrist sometimes gets requests for house calls from senior patients. Th...
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You Be the Coder :
Shave Errors By Pinning Down Lesion Size
Question: A patient came for a follow up visit after treatment for an injured ankle. Duri...
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Podiatry Coding Alert - 2009; Volume 1, Number 5
CPT 2010 Update:
Flesh Out Tumor Excision Details With Several New, More Specific CPT Codes
If your podiatrist doesn't diligently document tumor size, you'll start losing r...
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Fee Changes Could Wreak Havoc on Your Consult Pay
CPT 2010 leaves the codes untouched -- but that doesn't mean you'll get paid. Althou...
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3 FAQs Eliminate Your Diabetic Neuropathy Coding Confusion
Choosing the right G codes will ensure your timely reimbursement. Capturing payment for r...
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LOPS Defined
In general, Loss of Protective Sensation (LOPS) occurs when an individual is unable to sen...
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READER QUESTIONS:
Single Vs. Double Osteotomy Affects Code Choice
Question: I am new to podiatry coding and I'm finding that the podiatrist I code for uses...
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READER QUESTIONS:
Save Post-Op Codes for Original Surgeon
Question: A patient had an orthopedic surgeon put a pin in her second toe on her left foo...
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READER QUESTIONS:
Count Supply Cost in Your In-Office Procedure Pay
Question: My doctors want me to bill for supplies, like surgical trays, that they use dur...
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READER QUESTIONS:
Overcome Complicated Complication Differences
Question: A patient who is in the 90-day global period of a surgical procedure has compli...
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READER QUESTIONS:
Timely Filing Miss Doesn't Always Mean No Pay
Question: A payer denied our claim because we missed the timely filing deadline. The prob...
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You Be the Coder:
Does Tendon Injection Preclude Strapping Code?
Question: I have received tons of conflicting information regarding codes 29540 and 20550...
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Podiatry Coding Alert - 2009; Volume 1, Number 4
ICD-9 2010 Update:
Master Neoplasm, Embolism Dx Changes Before Denials Roll In
Plus, you can also add several new personal history V codes to your arsenal. This month y...
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News You Can Use:
CMS Proposes Jan. 1 Elimination of Consultation Coding
The goal: Eliminate confusion over transfers of care. If you cringe every time you see th...
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Part 2:
Seek Outside Help for Lingering Payer, Claims Issues
When a payer won't communicate, lean on your colleagues for support. What if you take the...
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READER QUESTIONS:
64455 Eliminates Plantar Digit Guesswork
Question: Our podiatrist administered steroid injections on a patient's big toes on both ...
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READER QUESTIONS:
Turn to Modifier 50 for Bilateral Procedure
Question: Our doctor injected our patient with 10 mg Kenalog each on both feet. Should I ...
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READER QUESTIONS:
Match Specs for Accurate Diabetic Shoe Coding
Question: We are currently billing A5500 and A5513 for shoes for diabetic Medicare patien...
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READER QUESTIONS:
Code Only Medically Necessary Nail Trims
Question: The doctor in our clinic trims almost every patient's nails upon consultation b...
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READER QUESTIONS:
Nail Down 'Rupture' Before Choosing 27650
Question: Our podiatrist excised a portion of our patient's Achilles tendon, reanastomose...
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READER QUESTIONS:
Avoid 99441-99443 After In-Office E/M
Question: A new patient came to our office, and the physician did a complete workup, resu...
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You Be the Coder:
Distinguish Between Supply and Service Codes
Question: Another podiatrist told my doctor that billing L3000 at the time of casting is ...
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Podiatry Coding Alert - 2009; Volume 1, Number 3
Get Paid for Minor Procedures and E/M Service on the Same Day
2 scenarios show you how to apply modifier 25 for separate procedures. When patients come...
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ICD-9 2010:
New Codes Help You Better Describe Gout Stages
2 Select acute or chronic and indicate tophi presence with new 5th digits. You'll be able...
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Are You Using Modifier 25 Accurately?
Modifier 25 is one of the most misunderstood modifiers. In many cases, it is misused, miss...
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Part 1:
Master the Art of Working With -- Or Around -- Problem Payers
Follow these steps and get results from every payer. You know all too well that problem p...
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Describe 4 Types of Gout -- Here's How
Brush up on your gout details and apply the new codes accurately with these definitions: &...
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Correction:
Correction:
In the August issue we had an incorrect answer to the reader question on pp. 14 and 15 hav...
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READER QUESTIONS:
How Do I Code for Flat Feet?
Question: This is somewhat new to me, but apparently Blue Cross Blue Shield (BCBS) does n...
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READER QUESTIONS:
Nail Debridement and Modifiers
Question: I am getting denied for CPT 11721 with a diagnosis of 110.1. Is it because I a...
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READER QUESTIONS:
Omit Location Modifier
Question: My physician billed a 99202 (Office or other outpatient visit) with a 17110 (De...
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READER QUESTIONS:
Are Multiple Anesthetic Injections Allowed?
Question: How many times can a patient get an injection (64455) before it is global per M...
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READER QUESTIONS:
Decide on Electronic Vs. Paper Record Retention
Question: My practice is running out of space for storing our paper records. How long do ...
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READER QUESTIONS:
Do Your Homework Before Hiring Outside Help
Question: Our practice just combined with another practice, and we're thinking about outs...
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You Be the Coder:
Finesse Toe Amputation
Question: I am having difficulty coding an OP report. The preoperative and postoperative ...
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Podiatry Coding Alert - 2009; Volume 1, Number 2
Don't get nervous over using plantar digital nerve codes
Keep these 4 tips in mind for successful claims every time. CPT 2009 introduced two new c...
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Medicare might pay for mycotic nail debridement
Know frequency limitations for CPT 11720 and CPT 11721 . If Medicare routinely denies cl...
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Follow carrier's lead for G0247 usage:
Follow carrier's lead for G0247 usage:
Extra guidelines apply if you don't submit 11720 or 11721. When you prepare claims for my...
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Reader Questions:
Use judgment for nursing home nail treatment
Question: Our podiatrist treats many nursing home patients. One has foot pain and al...
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Reader Questions:
Coding certain conditions requires PCP info
Question: When we see a patient for CPT 11055 and/or CPT 11720, do we include the last da...
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Reader Questions:
Watch T modifiers with hammertoe correction
Question: When coding multiple hammertoe correction, should I submit 28285 with the appro...
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Reader Questions:
Verify if carrier allows 99304 for podiatrist
Question: Is 99307 the correct code for a nursing home consult? Our podiatrist has seen t...
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Reader Questions:
11730 includes all or part of the nail
Question: A patient came to our office with five ingrown toenails. Our physician complete...
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Reader Questions:
Yes, CCI does allow 28110 with 28285
Question: What factors should we consider about billing 28110 with 28285? Wisconsin Subsc...
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Reader Questions:
Yes, CCI does allow 28110 with 28285
Question: What factors should we consider about billing 28110 with 28285? Wisconsin Subsc...
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Reader Questions:
Check Criteria Before Coding Consult
Question: A new patient came to our office with pain in his foot. We performed a complete...
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Reader Questions:
Document for multiple units of 20680
Question: The podiatrist removed screws from two separate incisions on a patient. Medicar...
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Reader Questions:
'Unlisted' best for hallux limitus and arthroplasty
Question: Our podiatrist performed a joint replacement for hallux limitus and thinks we s...
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You be the coder:
Billing office visit before admission
Question: Our podiatrist saw a patient for a wound care visit and documented the need for...
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Available Years:
2009