Podiatry Coding Alert

Wound Care:
4 FAQs to Help Your Foot Wound Care Bottom Line
Watch your traumatic care, compression therapy, ulcer and Dermagraft codes for clear cla... Read more
HIPAA:
Solidify Your HIPAA Policies and Practices Before the Auditors Come Knocking
All covered entities and business associates are on the audit list, HHS says. HIPAA is... Read more
ICD-10 Update:
Don't Get Sidelined By These 3 ICD-10 Myths
Don’t assume that ICD-10 will allow you to use the same code twice. With the hea... Read more
Compliance:
Bust These 5 Common Compliance Myths
Tip: Make a good faith effort to comply with the spirit of the law. Don’t get wa... Read more
Reader Question:
Look to Unlisted Code for Cuboid Syndrome Treatment
Question: How should I code for cuboid syndrome and its treatment through manipulation? ... Read more
Reader Question:
MSP Doesn't Change Medicare Consultation Pay
Question: I know Medicare doesn’t reimburse consults anymore, but a new coder we h... Read more
You Be the Coder:
Casting for Club Feet Correction
Question: When correcting club feet by releasing the Achilles and then applying the cast... Read more
Surgical Repair:
Understanding Repair Complexity Is a Simple Key to Coding Success
Knowing the difference between complex and simple repair can be worth $300 to your pract... Read more
Advance Beneficiary Notices:
Adding 'G' Modifiers on Your Medicare Claims? Expect Extra Scrutiny
The OIG report puts GA, GZ, GY, and GX in the hot seat. When your practice is billing ... Read more
Compliance:
E/M Errors Top Medicare's List of Improperly Billed Codes in 2012
CERT results reveal $29.6 billion in improper Medicare payments — $1.1 billion of ... Read more
Incident-to Billing:
Adding NPP Can Boost Productivity and Income -- But Know the Risks
Be sure you consult your state laws and NPP scope of practice rules before hiring. Hir... Read more
Reader Question:
Ensure That Your Appeals Have a Chance at Success
Question: When we know that the carrier has made a mistake in denying one of our cl... Read more
Reader Question:
Get Patient Okay Before Disclosing PHI
Question: Who’s authorized to make a request to review a patient’s medi... Read more
You Be the Coder:
Crescentic Osteotomy
Question: How should I code a crescent shelf osteotomy for a hallux valgus case? ... Read more
Fracture Care Coding:
Make Sure Improper Coding Doesn't Fracture Your Reimbursement
Don’t forget to include E/M, casting and strapping where appropriate with your foo... Read more
ICD-10:
Conversion to ICD-10 Won't Be a Huge Financial Burden, CMS Reps Say
Plus: ICD-10 claims will allow you to submit the letters as either upper or lowercase, C... Read more
Practice Management:
Breeze Through HIPAA Audit With 5 Protocol Tips
Try your hand at internal audits first. Random and targeted HIPAA audits are making th... Read more
Reader Question:
28296 and 64450 Are Inseparable
Question:  I billed 28296 for a bunion correction with metatarsal osteotomy, and 64... Read more
Reader Question:
Calculate the Sequestration Cut Effects
Question:  Does the 2 percent sequestration cut apply to claims with dates of servi... Read more
Reader Question:
Identify Ulcers by Type, Not Depth
Question:  Is there a method of correlating Wagner’s ulcer classification to ... Read more
Reader Question:
Report 11740 for Draining Toenail Hematoma
Question: A patient visited our office because of a hematoma under her toenail. The podi... Read more
Reader Question:
Billing 2 MD Visits on Same Day Is OK if Specialties Differ
Question: Can a patient be seen by two different providers in a billing group on the sam... Read more
You Be the Coder:
Non-Displaced Tarsal Bone Fracture Without Manipulation
Question: Our physician saw a patient for a non-displaced tarsal bone fracture, which di... Read more
Diagnosis Coding:
Brush Up on Foot Anatomy to Step Toward Coding Success
Tip: Keep modifiers LT, RT, TA-T9 handy to specify work on different areas of feet and t... Read more
ICD-10 Crosswalk
Once ICD-10 is implemented, the diagnosis codes in the above story will be different. Ch... Read more
Part B Payment:
Proposed 2014 Fee Schedule Suggests Steep Cuts
But in 2015, practitioners could finally see bonuses for non-face-to-face services admin... Read more
ICD-10 Prep:
Let 4 FAQs Help Guide Your ICD-10 Focus
Don’t limit your training to code selection alone. The ICD-10 implementation de... Read more
Reader Question:
Submit One Cast Supply Code Unit Per Cast
Question: Should we use supply code Q4010 as one unit, or can we report multiple units? ... Read more
Reader Question:
E/M Might Move from Office to ER
Question: The podiatric surgeon saw a patient in the office (99214), but later in the sa... Read more
You Be the Coder:
Rigid Mallet Toe Treatment
Question: A patient came into the office with a rigid mallet toe. How will my physician ... Read more
CCI 19.2:
Edits Direct You to Steer Clear of Reporting E/M With Many Procedures
CCI implements bundles for podiatric procedures already covered by global period guideli... Read more
E/M Coding:
Take Steps to MDM Determination Success -- Every Time
This system will help you correctly calculate each piece of the MDM puzzle. Are you in... Read more
Electronic Medical Records:
Look Before Jumping on the EMR Bandwagon
Picking the wrong EMR system could mean losing money and system blackouts. Electronic ... Read more
Reader Question:
Don't Automatically Combine ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later on the ... Read more
Reader Question:
Mitigate Late Patient Costs With Block Scheduling
Question: Recently we have had a lot of patients showing up late for appointments. The p... Read more
You Be the Coder:
Achilles Lesion Excision
Question: Our podiatrist documented an excision for thickening of the Achilles tendon, a... Read more
Fractures:
Ankle Fractures: Avoid 27786-27814 Pitfalls
Know the 5 types of ankle fracture repairs, and save your practice $70. Mistaking bima... Read more
CCI Primer:
4 FAQs Spotlight Bundling Rules for Podiatrists
Know when modifiers, ABNs can’t override edit pairs. Keeping abreast of Medicare... Read more
Documentation:
Leave the HPI Details to the Provider
Identify which portions of the record ancillary staff can capture. Your podiatrist&rs... Read more
Reader Question:
Brush Up on ICD-10 Differences
Question: I’ve seen lots of specific examples of ICD-10 codes, but I think it woul... Read more
Reader Question:
Include Retained FB Code With Toe Blister, When Applicable
Question: I’m coding a case of treatment for an ischemic blister of the right grea... Read more
Reader Question:
Be Cautious With EMR Templates
Question: We are evaluating several EMR products and one company is touting the pros of ... Read more
Reader Question:
Diagnosing Initial Vs. Follow-Up Fracture Visit
Question: Our physician treated a patient for a fracture of the second metatarsal. A fol... Read more
You Be the Coder:
Excision for Osteomyelitis Foot
Question: In a patient diagnosed with osteomyelitis of left second metatarsal bone, our ... Read more
Casting and Strapping:
3 Coding Steps to Wrap Up Your Strapping Claims
Tip: Be sure to check your materials before you file the claim A simple treatment like... Read more
Practice Management:
Master X-Y-Zs of Global Period Indicators to Maximize E/M Pay
Make sure to count pre-op day, too. Procedures that your podiatrist performs can range... Read more
Part B Mythbuster:
Check Out These Top 5 ABN Myths
These surprising CMS rules on ABN use are straight from Medicare policy. You’ve ... Read more
Reader Question:
Amend Documentation With Care
Question: One of our podiatrists wants to amend documentation of a procedure, but we don... Read more
Reader Question:
Stick With Joint Codes for Sinus Tarsi Injection
Question: I recently received a denial for a cortisone injection to the sinus tarsi with... Read more
You Be the Coder:
Ankle Fracture With Internal Fixation
Question: Our podiatrist documented a diagnosis of left ankle Weber C fracture in latera... Read more
Nerve Surgery:
Follow 5 Tips to Protect Your Neuroplasty Claims
Don’t get frazzled by the large selection of peripheral nerve, tarsal tunnel and d... Read more
Cash Flow:
5 Hidden Income Opportunities Ease the Pain of Sequestration Cuts
Your Medicare pay was slashed by 2 percent on April 1 — these tips will help bring... Read more
Denials Management:
4 Tips Set You on Course for MUE Appeals Success
Don’t fall victim to the ABN myth. If you think medically unlikely edits (MUEs) ... Read more
Reader Question:
Look at 917.2 for Toe Blister
Question: What is the correct diagnosis for an ischemic blister of the right great toe? ... Read more
Reader Question:
Make Arrangements for Incident-to Under Locum Tenens
Question: One of the podiatrists in our practice will be traveling for two months and ha... Read more
You Be the Coder:
Second Ingrown Toenail
Question: During an appointment for an ingrown toenail surgery, the podiatrist finds tha... Read more
Fractures:
Heal the Cracks in Your Calcaneal Fracture Coding
Is treatment closed, open, or percutaneous? The answer can affect your code choice. Ca... Read more
Practice Management:
Learn the Basics Before Investing in Practice Management Software
The right tools can streamline your administrative and financial tasks. Medical practi... Read more
Don't Settle:
Perform an MPM Needs Analysis
Review these system features and decide which ones your practice needs. When your prac... Read more
News You Can Use:
You're Saved From 26.5 Percent Physician Pay Cut
But RVU changes still in effect. Podiatrists can expect a reprieve from the dreaded 20... Read more
Documentation:
Need to Amend a Patient Encounter? Better Check These Directions First
Heads up: Single-line corrections are fine. If you discover your podiatrist forgot to ... Read more
Reader Question:
Let Medical Necessity Rule Code Choice
Question: Our podiatrist  is a very thorough documenter and treats very sick patien... Read more
Reader Question:
Keep a Record of Your Provider's Signature Variations
Question: We’re having trouble making sure our providers meet signature requiremen... Read more
You Be the Coder:
Toenail Excisions and Cauterizations
Question: A patient presents for a follow-up of an ingrown toenail. The physician finds ... Read more
Hallus Valgus:
Watch Out for Double Osteotomies
Tip: Don’t automatically jump to 28298 for Aiken procedures. Getting a lot of de... Read more
Coding Strategy:
Heed This Advice and Cross the Finish Line to Heel Spur Treatment Claims Success
Rule out fracture, check for casts and orthotic devices. If you’re reporting hee... Read more
Practice Management:
Get Ready For OIG Scrutiny of Modifiers and More
Audit yourself before the feds come calling. Your podiatry practice could come under t... Read more
E/M Coding:
Implement These 5 Simple Steps to Boost Your E/M Bottom Line
Heads up: Dig past ‘follow-up’ for acceptable chief complaint. E/M coding ... Read more
Reader Question:
Capture Margin Re-Excision
Question: The podiatrist performs a lesion re-excision for margin removal because the pa... Read more
Reader Question:
No New Code Describes Paperwork
Question: I’ve heard that CPT® has a new code for reviewing records separate f... Read more
Reader Question:
Inform Patients Before Collecting Co-Pays Up Front
Question: One of our providers returned from a meeting, saying he had talked to other pr... Read more
Reader Question:
Traumatic Amputation Equals 11044
Question: A patient presented in the emergency department with partial traumatic amputat... Read more
Reader Question:
Describe Follow-Up Visits Accurately With V Codes
Question: If a patient receives treatment and the condition was resolved, which ICD-9 co... Read more
You Be the Coder:
Brostrom Procedures
Question: My podiatrist gave me an op note for a "Brostrom procedure," and I h... Read more
Hammertoes:
28285: Including All Tenotomies in Hammertoe Corrections? Read This First
Also: Careful with your K-wire coding. Hammertoe surgery — 28285 (Correction, ha... Read more
Coding Strategies:
Count Your RVUs When Reporting Multiple Fractures
Apply this sequencing advice to ethically maximize reimbursement. Not paying attention... Read more
2013 Payment:
Last-Minute Congressional Vote Reverses Across-the-Board Pay Cuts
Medical societies still hopeful for new formula to halt this annual nail-biter. As man... Read more
Appeals:
Follow 4 Steps to Ensure You Are Properly Appealing Modifier 25 Denials
Hint: Pay attention to global period assignments. Denials are a part of every practice... Read more
EHR:
Does Your Electronic Prescription System Pass Muster?
Get started now to avoid further pay hits in 2014. Incentives for using electronic pre... Read more
Reader Question:
Turn to Unlisted Code for Contracture Procedure in Toe
Question: Our podiatrist documented the following: Diagnosis: 2nd Metatarsophalangeal ... Read more
Reader Question:
Legibility Matters, CMS Stresses
Question: I have heard payers are cracking down on illegible provider documentation. My ... Read more
You Be the Coder:
Lisfranc Injury
Question: In a patient diagnosed with Lisfranc injury in the left foot, the following pr... Read more
Case Study:
Watch for Lesion and Margin Measurements -- or Forfeit $35 Per Procedure
Learn what to do when the op note and pathology report say different things. Sometimes... Read more
CCI:
Modifiers 24 And 57 Will Soon Allow You to Bypass CCI Edits
Plus: You can also override bundles with modifiers LM and RI We’ve all heard the... Read more
CMS News:
Update Your Revalidation Plan With New CMS Instruction
Kinder, gentler process forestalls ‘revocation.’ Don’t lose your abi... Read more
Compliance:
Watch For Extra Scrutiny of Your Services
Incident-to billing, E/M coding, and more are on the OIG watch list in 2013. If you a... Read more
Billing Corner:
Locum Tenens Billing Doesn't Apply to New Docs Who Aren't Yet Credentialed
Uncredentialed physicians don’t fall into any ‘locum tenens loophole.’... Read more
Reader Question:
Append Correct Modifiers for Toe Osteotomy and Reconstruction
Question: Is it correct to code 28306-TA for left foot first metatarsal Mitchell osteoto... Read more
Reader Question:
New Year, New Insurance = New Verification
Question: How should I file a claim on a patient who has new coverage but has not receiv... Read more
Reader Question:
Get Patient's Signature on Records Transfers
Question: We were forced to discharge a patient. She paid for a copy of her medical reco... Read more
You Be the Coder:
Bone Marrow Aspiration With Subtalar Arthrodesis
Question: Our podiatrist is performing a subtalar arthrodesis (28725, Arthrodesis; subta... Read more
Available Years:  2013  2012  2011  2010  2009