Podiatry Coding Alert
Surgical Coding:
Keep Your Os Trigonum Excision Coding Straight for Maximum Benefit
Hint: Look for your podiatrist's note of a posterior tibial impingement. If you can nar... Read more
Keep Your Os Trigonum Excision Coding Straight for Maximum Benefit
Hint: Look for your podiatrist's note of a posterior tibial impingement. If you can nar... Read more
CPT® 2013:
Make the Most of 'Other Qualified Healthcare Professionals' Billing
Don't limit E/M services to general surgeons in your practice. If you've been losing pa... Read more
Make the Most of 'Other Qualified Healthcare Professionals' Billing
Don't limit E/M services to general surgeons in your practice. If you've been losing pa... Read more
Payer Pointers:
Learn the Ropes of 5 Common Audits Your Practice May Face
Understanding several types of audits can help your practice prepare. If you are gettin... Read more
Learn the Ropes of 5 Common Audits Your Practice May Face
Understanding several types of audits can help your practice prepare. If you are gettin... Read more
2013 Payment:
Finalized 2013 Fee Schedule Includes 26.5 Percent Cut
Plus: Transition care management pay is formalized with assignment of codes 99495-99496.... Read more
Finalized 2013 Fee Schedule Includes 26.5 Percent Cut
Plus: Transition care management pay is formalized with assignment of codes 99495-99496.... Read more
Reader Question:
29450 Describes Weekly Clubfoot Casting
Question: Which modifier should we report when we recast a patient each week to treat hi... Read more
29450 Describes Weekly Clubfoot Casting
Question: Which modifier should we report when we recast a patient each week to treat hi... Read more
Reader Question:
No FBR? Append Modifier 52 to 10120 or 28190
Question: A patient came to our office after stepping on a nail. He was afraid some mate... Read more
No FBR? Append Modifier 52 to 10120 or 28190
Question: A patient came to our office after stepping on a nail. He was afraid some mate... Read more
You Be the Coder:
Repeat Nail Procedures
Question: We have a patient who has had both first nails removed and phenolized twi... Read more
Repeat Nail Procedures
Question: We have a patient who has had both first nails removed and phenolized twi... Read more
CCI Update:
12001-13153: Include Closure in Nearly Every Surgical Procedure
Report repair alone or with lesion excision only.In case you've ever wondered if you could... Read more
12001-13153: Include Closure in Nearly Every Surgical Procedure
Report repair alone or with lesion excision only.In case you've ever wondered if you could... Read more
CPT® 2013:
Watch for These E/M Descriptor Tweaks in New Year
Will these changes affect your billing?Most podiatrists bill evaluation and management cod... Read more
Watch for These E/M Descriptor Tweaks in New Year
Will these changes affect your billing?Most podiatrists bill evaluation and management cod... Read more
Billing Corner:
Don't Let No-Shows Mean No Reimbursement
Follow these 4 tips to help cushion the cost.These days every dollar and every minute coun... Read more
Don't Let No-Shows Mean No Reimbursement
Follow these 4 tips to help cushion the cost.These days every dollar and every minute coun... Read more
News You Can Use:
CMS Makes Revalidation Process Permanent
Plus: Medicare begins accepting faxed, emailed supporting documents.If CMS's revalidation ... Read more
CMS Makes Revalidation Process Permanent
Plus: Medicare begins accepting faxed, emailed supporting documents.If CMS's revalidation ... Read more
Reader Question:
11055-11057 Should Not Be Doubled
Question: My podiatrist had a patient with one hyperkeratotic lesion on the left foot and ... Read more
11055-11057 Should Not Be Doubled
Question: My podiatrist had a patient with one hyperkeratotic lesion on the left foot and ... Read more
Reader Question:
28041 or 28045? Choice Depends on Size
Question: Our podiatrist did an open excision of a lipomatosis nodule of the sinus tarsi o... Read more
28041 or 28045? Choice Depends on Size
Question: Our podiatrist did an open excision of a lipomatosis nodule of the sinus tarsi o... Read more
Reader Question:
ICD-9 Freeze Will Spare You New Updates This Year
Question: Are there any ICD-9-CM updates planned for 2013? Iowa Subscriber Answer: No ICD-... Read more
ICD-9 Freeze Will Spare You New Updates This Year
Question: Are there any ICD-9-CM updates planned for 2013? Iowa Subscriber Answer: No ICD-... Read more
You Be the Coder:
Tendon Repair
Question: How should I code the repair of two extensor digitorum longus tendons (right foo... Read more
Tendon Repair
Question: How should I code the repair of two extensor digitorum longus tendons (right foo... Read more
Unna Boots:
29580 Basics: Give Unna Denials the Boot
Follow our experts' 6 simple steps for strapping success.With just one CPT® code&nbs... Read more
29580 Basics: Give Unna Denials the Boot
Follow our experts' 6 simple steps for strapping success.With just one CPT® code&nbs... Read more
E/M Corner:
Follow 3 Steps to Proper MDM Determinations
Our experts' system can help you calculate each individual piece of the medical decision m... Read more
Follow 3 Steps to Proper MDM Determinations
Our experts' system can help you calculate each individual piece of the medical decision m... Read more
Fracture Care Coding:
29550 or 28490? Find the Right Fracture Code for the Case
You could be missing more than $100 in deserved reimbursement.How can you tell if a claim ... Read more
29550 or 28490? Find the Right Fracture Code for the Case
You could be missing more than $100 in deserved reimbursement.How can you tell if a claim ... Read more
News You Can Use:
Double-Digit Cuts May Strike Your Income Starting in January
Some specialties could suffer if Congress doesn't step in.Every year around this time, the... Read more
Double-Digit Cuts May Strike Your Income Starting in January
Some specialties could suffer if Congress doesn't step in.Every year around this time, the... Read more
Reader Question:
28296 and 64450 Are Inseparable
Question: I billed 28296 for a bunion correction with metatarsal osteotomy, and 64450 for ... Read more
28296 and 64450 Are Inseparable
Question: I billed 28296 for a bunion correction with metatarsal osteotomy, and 64450 for ... Read more
Reader Question:
28450 Can Apply, Even Without Manipulation
Question: Our physician saw a patient for a non-displaced tarsal bone fracture, which did ... Read more
28450 Can Apply, Even Without Manipulation
Question: Our physician saw a patient for a non-displaced tarsal bone fracture, which did ... Read more
You Be the Coder:
Jones Fracture
Question: A podiatrist in my practice listed Jones fracture as the patient's diagnosi... Read more
Jones Fracture
Question: A podiatrist in my practice listed Jones fracture as the patient's diagnosi... Read more
X-rays:
See Through X-Ray Rules to Visualize Proper Coding
Using foot and toe modifiers correctly can be the key to reimbursement. Even beginning co... Read more
See Through X-Ray Rules to Visualize Proper Coding
Using foot and toe modifiers correctly can be the key to reimbursement. Even beginning co... Read more
Coding Case:
28285 With 28232? Use Caution When Reporting the 2 Together
Our expert advice helps you ace your tenotomy with hammertoe correction claims. Think twi... Read more
28285 With 28232? Use Caution When Reporting the 2 Together
Our expert advice helps you ace your tenotomy with hammertoe correction claims. Think twi... Read more
Billing Corner:
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs: Part 2
Tackle payment errors like a pro with this advice. Collecting payment for patients who ar... Read more
Overcome Primary vs. Secondary Payer Woes with Answers to Your FAQs: Part 2
Tackle payment errors like a pro with this advice. Collecting payment for patients who ar... Read more
Reader Question:
Consider Coding Chemocauterization
Question: A patient came in for wart removal on his right second toe. The physician perfo... Read more
Consider Coding Chemocauterization
Question: A patient came in for wart removal on his right second toe. The physician perfo... Read more
Reader Question:
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill the... Read more
Know When You Can Bill the Patient Directly
Question: I need to know if I can bill a patient for a supply (crutches) and not bill the... Read more
You Be the Coder:
Metatarsal Delayed Union
Question: A patient was treated for a fracture of the second metatarsal. Four weeks later... Read more
Metatarsal Delayed Union
Question: A patient was treated for a fracture of the second metatarsal. Four weeks later... Read more
Surgery:
28285, 28315 Plus Proper Modifiers Equals Partial Sesamoidectomy and Hammertoe Claim Success
Open up your sesamoid coding options with these 3 tips.Coding for hammertoe correction and... Read more
28285, 28315 Plus Proper Modifiers Equals Partial Sesamoidectomy and Hammertoe Claim Success
Open up your sesamoid coding options with these 3 tips.Coding for hammertoe correction and... Read more
Collections:
Patients Reluctant to Provide SSNs? Follow These Tips to Keep Billing on Track
Answer privacy concerns while keeping a firm payment policy in place.As the stories of ide... Read more
Patients Reluctant to Provide SSNs? Follow These Tips to Keep Billing on Track
Answer privacy concerns while keeping a firm payment policy in place.As the stories of ide... Read more
Denial Management:
Make Sure Practitioner Specialty Codes Are Accurate
Tip: Check with your MAC to make sure your physicians are entered properly.If you report a... Read more
Make Sure Practitioner Specialty Codes Are Accurate
Tip: Check with your MAC to make sure your physicians are entered properly.If you report a... Read more
Compliance:
Is Your Practice Leaning Too Heavily Toward High-Level E/Ms?
Warning: The OIG is scrutinizing your 99214 and 99215 trends -- make sure you are, to... Read more
Is Your Practice Leaning Too Heavily Toward High-Level E/Ms?
Warning: The OIG is scrutinizing your 99214 and 99215 trends -- make sure you are, to... Read more
Reader Question:
77002 Documents Fluoroscopic Guidance
Question: My podiatrist performed a plantar nerve destruction to treat pain from Morton's ... Read more
77002 Documents Fluoroscopic Guidance
Question: My podiatrist performed a plantar nerve destruction to treat pain from Morton's ... Read more
Reader Question:
V67.00 Accurately Describes Follow-Up After Surgery
Question: If a patient receives treatment and the condition was resolved, which ICD-9 code... Read more
V67.00 Accurately Describes Follow-Up After Surgery
Question: If a patient receives treatment and the condition was resolved, which ICD-9 code... Read more
Reader Question:
Include Class Findings in Onychomycosis Claim
Question: During his initial visit, a new diabetic patient (250.7x) complaining of foot pa... Read more
Include Class Findings in Onychomycosis Claim
Question: During his initial visit, a new diabetic patient (250.7x) complaining of foot pa... Read more
You Be the Coder:
Gout Excision
Question: Our podiatrist recently excised a soft tissue mass from the foot of a patient su... Read more
Gout Excision
Question: Our podiatrist recently excised a soft tissue mass from the foot of a patient su... Read more
Lesion Removals:
701.1 Is Your Best Bet for Porokeratotic Lesions
CPT 11055, 11420, or 17000? Your coding will depend on the method used. There may be ... Read more
701.1 Is Your Best Bet for Porokeratotic Lesions
CPT 11055, 11420, or 17000? Your coding will depend on the method used. There may be ... Read more
Evaluation and Management:
99212 or 99213? MDM Level Is Key to Understanding Podiatry E/M Claims
Hint: Assign tips to each of the 3 MDM components your podiatrist performs. Your podia... Read more
99212 or 99213? MDM Level Is Key to Understanding Podiatry E/M Claims
Hint: Assign tips to each of the 3 MDM components your podiatrist performs. Your podia... Read more
Billing Basics:
Avoid 10 Common Billing Errors With 10 Expert Tips
Hint: Benefits verification can solve a lot of your denial problems.What's the top tool in... Read more
Avoid 10 Common Billing Errors With 10 Expert Tips
Hint: Benefits verification can solve a lot of your denial problems.What's the top tool in... Read more
Reader Question:
Identify the Osteomyelitis Organism
Question: Which diagnosis codes should I use for chronic osteomyelitis of the third metata... Read more
Identify the Osteomyelitis Organism
Question: Which diagnosis codes should I use for chronic osteomyelitis of the third metata... Read more
Reader Question:
Count Prescriptions as Part of E/M
Question: My podiatrist heard that there's a code we can bill and be paid on just for the ... Read more
Count Prescriptions as Part of E/M
Question: My podiatrist heard that there's a code we can bill and be paid on just for the ... Read more
Reader Question:
Ensure That Diagnosis Matches Patient's Condition
Question: When I bill Medicare for deep debridement (11042) using the diagnosis the physic... Read more
Ensure That Diagnosis Matches Patient's Condition
Question: When I bill Medicare for deep debridement (11042) using the diagnosis the physic... Read more
Reader Question:
Insurers May Require Bundling Same-Day E/M Services
Question: Can we bill two office visits on the same day? We reported 99214 twice for the s... Read more
Insurers May Require Bundling Same-Day E/M Services
Question: Can we bill two office visits on the same day? We reported 99214 twice for the s... Read more
You Be the Coder:
Hallux Limitus Release With Bunionectomy
Question: Can I report a hallux limitus release and an Austin bunionectomy in the same ses... Read more
Hallux Limitus Release With Bunionectomy
Question: Can I report a hallux limitus release and an Austin bunionectomy in the same ses... Read more
Gait Analysis:
96000-96004 Survival Guide: 3 Simple Rules for Claims Success
Hint: Don't bill the gait analysis code if the podiatrist only performed one component of ... Read more
96000-96004 Survival Guide: 3 Simple Rules for Claims Success
Hint: Don't bill the gait analysis code if the podiatrist only performed one component of ... Read more
Compliance:
OIG to Send CMS Names of 1,700 Docs Who Overbilled High-Level E/M Codes
Frequency of reporting 99214 and 99215 increased 17 percent over 9-year period.If you exam... Read more
OIG to Send CMS Names of 1,700 Docs Who Overbilled High-Level E/M Codes
Frequency of reporting 99214 and 99215 increased 17 percent over 9-year period.If you exam... Read more
Billing:
Overcome Primary vs. Secondary Payer Woes With Answers to Your FAQs
Start with the basics and then move on to learning the intricacies.When a patient is cover... Read more
Overcome Primary vs. Secondary Payer Woes With Answers to Your FAQs
Start with the basics and then move on to learning the intricacies.When a patient is cover... Read more
Follow These CMS Rules for Submitting Medicare Secondary Payer Claims
Hint: Copy all beneficiary insurance cards, not just the Medicare one.When Part B practice... Read more
Hint: Copy all beneficiary insurance cards, not just the Medicare one.When Part B practice... Read more
ICD-10 Delay:
Anticipate 1 Extra Year for Your ICD-10 Implementation Schedule
But don't count on the delay quite yet, expert warns.As part of a proposed rule to adopt a... Read more
Anticipate 1 Extra Year for Your ICD-10 Implementation Schedule
But don't count on the delay quite yet, expert warns.As part of a proposed rule to adopt a... Read more
Reader Question:
Identify Ulcers by Type, Not Depth
Question: Is there a method of correlating Wagner's ulcer classification to ICD-9 and CPT&... Read more
Identify Ulcers by Type, Not Depth
Question: Is there a method of correlating Wagner's ulcer classification to ICD-9 and CPT&... Read more
Reader Question:
Report 11740 for Draining Toenail Hematoma
Question: A patient visited our office because of a hematoma under her toenail. The podiat... Read more
Report 11740 for Draining Toenail Hematoma
Question: A patient visited our office because of a hematoma under her toenail. The podiat... Read more
Reader Question:
How Should You Bill Medicare?
Question: We are participating with Medicare. We bill and submit claims to Trailblazer (J4... Read more
How Should You Bill Medicare?
Question: We are participating with Medicare. We bill and submit claims to Trailblazer (J4... Read more
Reader Question:
No History? Don't Assume Comprehensive Level
Question: Our physician admitted someone as an initial inpatient, but couldn't get all her... Read more
No History? Don't Assume Comprehensive Level
Question: Our physician admitted someone as an initial inpatient, but couldn't get all her... Read more
You Be the Coder:
Diabetic Foot Exam
Question: What are the guidelines for performing and coding a comprehensive diabetic foot ... Read more
Diabetic Foot Exam
Question: What are the guidelines for performing and coding a comprehensive diabetic foot ... Read more
Toe Repairs:
28290-28299: Know These Terms to Zero In on Proper Bunionectomy Code
With over 100 named hallux valgus procedures, here's what to look for in the procedure not... Read more
28290-28299: Know These Terms to Zero In on Proper Bunionectomy Code
With over 100 named hallux valgus procedures, here's what to look for in the procedure not... Read more
Modifiers:
3 Tips Distinguish 58 and 78 to Impact Your Bottom Line
Same condition or complication makes the difference.Choosing the appropriate global-period... Read more
3 Tips Distinguish 58 and 78 to Impact Your Bottom Line
Same condition or complication makes the difference.Choosing the appropriate global-period... Read more
Billing:
Evaluate Your Billing Procedures With Internal Audits, Before an Outside Auditor Does
Starting with a baseline audit will set your practice up for success.Would you pass an aud... Read more
Evaluate Your Billing Procedures With Internal Audits, Before an Outside Auditor Does
Starting with a baseline audit will set your practice up for success.Would you pass an aud... Read more
Reader Question:
Distinguish Pain Killing Agents in Plantar Injections
Question: Our clinic has a number of patients seeking treatment for pain in the sole of th... Read more
Distinguish Pain Killing Agents in Plantar Injections
Question: Our clinic has a number of patients seeking treatment for pain in the sole of th... Read more
Reader Question:
No Documented HPI Leads to No Coding for New Patient
Question: A new patient visits the podiatrist with a chief complaint. I don't have a revie... Read more
No Documented HPI Leads to No Coding for New Patient
Question: A new patient visits the podiatrist with a chief complaint. I don't have a revie... Read more
Reader Question:
Double Check Copay Early to Save Time, Money
Question: A patient came to our office with the same insurance card she's had for years. W... Read more
Double Check Copay Early to Save Time, Money
Question: A patient came to our office with the same insurance card she's had for years. W... Read more
Reader Question:
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
You Be the Coder:
Achilles Tear
Question: What is the correct ICD-9 code for a tear of the Achilles tendon?Connecticu... Read more
Achilles Tear
Question: What is the correct ICD-9 code for a tear of the Achilles tendon?Connecticu... Read more
Modifier 78:
Case Study: Reason Determines Correct Modifier for Metatarsal Excision
Returning a patient to the OR? Read this before assigning a code for multi-step procedures... Read more
Case Study: Reason Determines Correct Modifier for Metatarsal Excision
Returning a patient to the OR? Read this before assigning a code for multi-step procedures... Read more
ICD-10:
ICD-10 Date Will Be Postponed, HHS Confirms
Delay could offer practices additional time to prepare for new diagnosis coding system.Jus... Read more
ICD-10 Date Will Be Postponed, HHS Confirms
Delay could offer practices additional time to prepare for new diagnosis coding system.Jus... Read more
HIPAA:
With Audits Heating Up, Is Your Practice Ready?
Make sure your privacy and security practices are up-to-date.If your HIPAA protocols fall ... Read more
With Audits Heating Up, Is Your Practice Ready?
Make sure your privacy and security practices are up-to-date.If your HIPAA protocols fall ... Read more
Billing Primer:
Considering Going Out of Network? Follow These 3 Tips to Pave the Road to Success
Be honest with your patients to ensure a smooth transition.More and more providers are que... Read more
Considering Going Out of Network? Follow These 3 Tips to Pave the Road to Success
Be honest with your patients to ensure a smooth transition.More and more providers are que... Read more
Reader Question:
10060-10061 Distinction Goes Beyond Packing
Question: Would you clarify the difference between a simple and complex incision and drain... Read more
10060-10061 Distinction Goes Beyond Packing
Question: Would you clarify the difference between a simple and complex incision and drain... Read more
Reader Question:
Tread Carefully When Dealing With Tarsal Fractures
Question: My podiatrist saw a patient in the emergency department for a non-displaced tars... Read more
Tread Carefully When Dealing With Tarsal Fractures
Question: My podiatrist saw a patient in the emergency department for a non-displaced tars... Read more
Reader Question:
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
Save Initial NF Visit Billing for the Physician
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this ty... Read more
Reader Question:
Does Ability to Bill the Patient Expire?
Question: Is there a time limit on when you can bill a patient for their balance due after... Read more
Does Ability to Bill the Patient Expire?
Question: Is there a time limit on when you can bill a patient for their balance due after... Read more
You Be the Coder:
Tarsal Tunnel Release
Question: I have a rough op note that describes an incision behind the ankle to relieve pr... Read more
Tarsal Tunnel Release
Question: I have a rough op note that describes an incision behind the ankle to relieve pr... Read more
Nail Debridement:
11720-11721 With E/M? Follow These Tips for Clean Coding
Are these myths costing you $70 per procedure? Auditors look unkindly on podiatry offices ... Read more
11720-11721 With E/M? Follow These Tips for Clean Coding
Are these myths costing you $70 per procedure? Auditors look unkindly on podiatry offices ... Read more
Part B Update:
Despite CPT® Revision, Medicare Won't Update 'New Patient' E/M Rules for 2012
Plus: Claims reprocessing has completed, so make sure your claims have been corrected.As m... Read more
Despite CPT® Revision, Medicare Won't Update 'New Patient' E/M Rules for 2012
Plus: Claims reprocessing has completed, so make sure your claims have been corrected.As m... Read more
Fee Schedule Update:
Expect 2-Month Medicare Payment Reprieve
SGR formula fix is key.You won't face a 27 percent Medicare pay cut beginning Jan. 1 after... Read more
Expect 2-Month Medicare Payment Reprieve
SGR formula fix is key.You won't face a 27 percent Medicare pay cut beginning Jan. 1 after... Read more
Workers' Compensation:
5 Guidelines Ease the Pain of Billing Workers' Compensation
If you don't get pertinent information before seeing the patient, expect trouble when you ... Read more
5 Guidelines Ease the Pain of Billing Workers' Compensation
If you don't get pertinent information before seeing the patient, expect trouble when you ... Read more
Reader Question:
28285-28286 Work for Both Hammer and Claw
Question: How should I code for a claw toe surgery with a tendon transfer? Is it the same ... Read more
28285-28286 Work for Both Hammer and Claw
Question: How should I code for a claw toe surgery with a tendon transfer? Is it the same ... Read more
Reader Question:
99241-99255: Keep Consults When Possible
Question: Can we still use "consult" E/M codes?North Carolina SubscriberAnswer: The ... Read more
99241-99255: Keep Consults When Possible
Question: Can we still use "consult" E/M codes?North Carolina SubscriberAnswer: The ... Read more
Reader Question:
Pay Attention to Month, Not Year, With Birthday Rule
Question: I just received a call from a patient's parent claiming that we didn't follow th... Read more
Pay Attention to Month, Not Year, With Birthday Rule
Question: I just received a call from a patient's parent claiming that we didn't follow th... Read more
You Be the Coder:
Treatment of Morton's Neuroma
Question: What are the proper codes for a sclerosing injection for the treatment of Morton... Read more
Treatment of Morton's Neuroma
Question: What are the proper codes for a sclerosing injection for the treatment of Morton... Read more
CCI 18.0 Update:
Include 29582 in All Fracture, Dislocation
Look for different sessions or sites before you try to break these bundles. If your podiat... Read more
Include 29582 in All Fracture, Dislocation
Look for different sessions or sites before you try to break these bundles. If your podiat... Read more
Medicare Errors:
Providers Underbilled More Than $1 Billion to Medicare in 2010
CERT results reveal $34.3 billion in improper Medicare payments -- $1.1 billion of wh... Read more
Providers Underbilled More Than $1 Billion to Medicare in 2010
CERT results reveal $34.3 billion in improper Medicare payments -- $1.1 billion of wh... Read more
CPT® 2012:
Don't Miss These Clarifications About New Patients and 'Qualified Healthcare Professional'
See how changes affect your use of 99201-99205, 99460-99461, and more. Coding guidelines c... Read more
Don't Miss These Clarifications About New Patients and 'Qualified Healthcare Professional'
See how changes affect your use of 99201-99205, 99460-99461, and more. Coding guidelines c... Read more
Payer Participation:
4 Tips Help You Successfully Collect for Services When Your Practice Does Not Participate
Hint: Collecting early is often the key.As payer contracts get more and more complicated a... Read more
4 Tips Help You Successfully Collect for Services When Your Practice Does Not Participate
Hint: Collecting early is often the key.As payer contracts get more and more complicated a... Read more
Reader Question:
Do Not Report Casts Independently
Question: When correcting club feet by releasing the Achilles and then applying the cast d... Read more
Do Not Report Casts Independently
Question: When correcting club feet by releasing the Achilles and then applying the cast d... Read more
Reader Question:
Base Billing Order on RVU Order
Question: I know that as a general rule the highest RVU has a higher billed amount and tha... Read more
Base Billing Order on RVU Order
Question: I know that as a general rule the highest RVU has a higher billed amount and tha... Read more
You Be the Coder:
Cuboid Syndrome
Question: How should I code for cuboid syndrome and its treatment through manipulation? Wh... Read more
Cuboid Syndrome
Question: How should I code for cuboid syndrome and its treatment through manipulation? Wh... Read more
Wound Care:
1101x, 28485 Tell Accidental Foot GSW Story
Also: Got ulcer care, Dermagraft, and VAC questions? Read on for our expert wound care ans... Read more
1101x, 28485 Tell Accidental Foot GSW Story
Also: Got ulcer care, Dermagraft, and VAC questions? Read on for our expert wound care ans... Read more
ICD-10 Bridge
Once ICD-10 is implemented in 2013, the diagnosis codes in the above story will be differe... Read more
Once ICD-10 is implemented in 2013, the diagnosis codes in the above story will be differe... Read more
Medical Necessity:
3 Steps Focus Diagnosis Coding for Your Surgical Claims
Add these tips to your ICD-9 toolbox.You won't get paid for your podiatrist's work if you ... Read more
3 Steps Focus Diagnosis Coding for Your Surgical Claims
Add these tips to your ICD-9 toolbox.You won't get paid for your podiatrist's work if you ... Read more
E/M:
HPI Know-How Helps You Catch Level 4 and 5 E/M Opportunities
Beware of CPT® and Medicare differences when counting HPI elements.Not accurately ac... Read more
HPI Know-How Helps You Catch Level 4 and 5 E/M Opportunities
Beware of CPT® and Medicare differences when counting HPI elements.Not accurately ac... Read more
Reader Question:
Diagnosis Is Related to E/M Level, But Doesn't Dictate Code
Question: Our podiatrist saw an established patient with chronic diabetes. The patie... Read more
Diagnosis Is Related to E/M Level, But Doesn't Dictate Code
Question: Our podiatrist saw an established patient with chronic diabetes. The patie... Read more
Reader Question:
Modifier 55 Won't Apply to Suture Removal
Question: An established patient went to the emergency room in another state over th... Read more
Modifier 55 Won't Apply to Suture Removal
Question: An established patient went to the emergency room in another state over th... Read more
Reader Question:
Know GC Rules for Resident Surgical Assists
Question: When a resident assists a surgeon in a teaching hospital, do we need to add modi... Read more
Know GC Rules for Resident Surgical Assists
Question: When a resident assists a surgeon in a teaching hospital, do we need to add modi... Read more
Reader Question:
Verify Copay Early to Save Time, Money
Question: A patient came to our office with the same insurance card she's had for years. W... Read more
Verify Copay Early to Save Time, Money
Question: A patient came to our office with the same insurance card she's had for years. W... Read more
You Be the Coder:
T3 Skinplasty
Question: What is the proper code for a skinplasty on an overlapping fourth toe on th... Read more
T3 Skinplasty
Question: What is the proper code for a skinplasty on an overlapping fourth toe on th... Read more