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Podiatry Coding Alert - 2015; Volume 7, Number 12
ICD-10 Coding:
4 Cardinal Rules Get You Max Payment for Corn and Callus Coding
Ensuring medical necessity will assure last mile success in getting your physician paid....
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Reimbursement News:
Factor in These Billing and Policy Updates to Maintain a Healthy Bottom Line
Don’t expect all CMS proposed changes to be implemented. Although your practice ...
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Billing Corner:
Confirm 'Established Plan of Care' to Avoid Rejection of NPP Services Billing
Definition of new condition is crucial to distinguish incident-to services. If your pract...
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Readers Question:
Spot the Symptoms Before Coding PTTD and Plantar Fasciitis
Question: In our office we see a lot of cases of PTTD and plantar fasciitis. What are th...
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You Be the Coder:
Code Follow-Up Visits According to Service Performed
Question: Our patient had an abscess on her leg that was treated several days ago. Today, ...
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Podiatry Coding Alert - 2015; Volume 7, Number 11
Diagnosis Coding:
Find Frequently Used Codes Faster by Defining These Anatomical Podiatry Terms
ICD-10 has simplified reporting for bunions and hallux valgus. Don’t let anatomi...
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Payer Rules:
Get ABNs to Avoid Later Blushes on Rejection of Uncovered Services
ABN protocols may even benefit your patient relations. While you may face resistance from...
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ICD-10 Implementation:
Continued Training is the New Watchword After ICD-10 Adoption
Incorporating coders’ inputs is crucial in the expanded diagnosis scenarios. Alt...
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Medicare Compliance:
Curb Incorrect E/M Coding Cases to Stay Clear of CMS Scrutiny
Medicare finds Part B error rate worsening year-on-year. Despite the renewed interest ...
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Readers Question:
Check Incision Before Reporting Foot FBR
Question: Our podiatrist recently saw a patient who came limping with pain in the c...
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You Be the Coder:
Use Foot Fracture Modifiers With Care
Question: A 14-year-old patient visited our clinic with an injured second toe of th...
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Podiatry Coding Alert - 2015; Volume 7, Number 10
Excision Procedure:
Lead Yourself to Successful Lesion Removal Claims With These Tips
Hint: Pay extra attention to size and location for coding accuracy. If your payer cons...
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CPT® 2016:
Get Ready to Welcome New and Revised Prolonged Services Codes Next Year
Revised codes can be added on to any service level, not just the highest. Change has ...
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Fracture Coding:
Prepare for Accurate Pathologic/Traumatic Fracture Code Diagnoses With These 2 Case Scenarios
Hint: Go for default codes for displaced or closed fracture in absence of notes. If yo...
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ICD-10 Implementation:
Don't Expect Smooth Transition on Workers' Comp Claims
Prepare for hard work as ICD-10 switch is not countrywide. ICD-10 is finally on since...
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Reader Question:
Distinguish Between Excision and Osteotomy to Avoid Later Rejection
Question: Please help with the diagnosis and procedural coding for the procedure me...
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Reader Question:
Global Period is Crucial for Repeat Drainage of Abscess
Question: A patient reported back to our physician for a wound check following drai...
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Reader Question:
Report an Established Patient Only After a Face-to-Face Encounter
Question: Our podiatry practice performed a skin test on a patient who was referred t...
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You Be the Coder:
Follow Initial Visit Guidelines for Shoring Up Your Documentation
Question: We often get patients with painful foot/ankle subluxation and sprains. Do...
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Podiatry Coding Alert - 2015; Volume 7, Number 9
Wound Care:
Correctly Distinguish Wound Closure Levels Every Time With This Advice
Follow our tips to spot documentation showing the differences between simple and complex...
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Consultation Corner:
These Tips Clear Your Consultation Coding Confusion
Caution: Confirm with your payer before billing as it may not follow Medicare rules. M...
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News You Can Use:
CMS Green Flags All Systems for Impending ICD-10 Launch
Acknowledgement testing still on until Oct. 1. After halts and stalls in recent years,...
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Readers Question:
Follow Medicare Rules Closely for Worker's Comp Consultation
Question: We are billing a consultation and treating physician’s progress rep...
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Readers Question:
Consider Timing, Location, Intent for Skin Biopsy
Question: Our physician routinely performs biopsies along with other procedures. Ho...
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You Be the Coder:
Use Appropriate Policy to Justify Modifier 59 Usage
Question: I have a Medicare patient that keeps coming back to see the doctor for trea...
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Podiatry Coding Alert - 2015; Volume 7, Number 8
Coding Corner:
Ensure Painless Reporting of Hammertoe, Tenotomy Together With This Guide
Choosing the right combo of modifiers is as crucial as the right code. Hammertoe surge...
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E/M:
Back Up Your Level of E/M Services With Medical Necessity
Key: MDM and medical necessity are not the same. If you are reporting high level E/M c...
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ICD-10 News:
CMS Releases ICD-10 Clarifications for a Smoother Transition
Even getting the “family of codes” right will be enough. The Centers for M...
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Readers Question:
Keep This Q Modifier Guide Handy for Routine Care Cases
Question: We have a new podiatrist on board and he performs corn removal and nail d...
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You Be the Coder:
Choose Modifiers Wisely to Get Paid for Debridement
Question: An established patient came in for a visit and had debridement done on his ...
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Podiatry Coding Alert - 2015; Volume 7, Number 7
Incision and Drainage:
Diligent Documentation of Complicated I&D is Worth $90
Make use of available opportunities to report an additional E/M. When your clinician p...
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Modifiers Mashup:
Maximize Reimbursement for Modifiers 58 and 78 With These 3 Pointers
Rely on the medical record to sift between staging and unexpected complication. Do you kn...
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Compliance Alert:
Provide Proper POS Line Items to Avoid MAC Ire
CMS looks at over $33 million overpayment due to place of service errors. The OIG's 2015 ...
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Readers Questions:
Don't Go Hunting for Modifier 55 for Every Suture Removal
Question: An established patient visited a podiatrist in another state because of a l...
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Readers Questions:
Resort to Modifier 59 for Justified Unbundling of Foot Procedures
Question: Our podiatrist's op report states that he performed a bunion correction on ...
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You Be the Coder:
Decide Between Relief and Destruction to Report Treatment of Morton's Neuroma
Question: A patient visited our podiatrist with a complaint of sharp burning pain i...
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Podiatry Coding Alert - 2015; Volume 7, Number 6
Surgery Coding:
Clean Up Your Neuroplasty Reimbursement By Correcting These 5 Mistakes
Hint: Make sure your primary diagnosis matches the procedure codes. You may be an expe...
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Billing Corner:
Snare Full Payment for SNF Treatments With These 4 Tips
Listing the correct POS for consolidated billing will prevent future denials. You perf...
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Reader Questions:
Go to Modifier 58 for Planned Fracture Repair
Question: A patient visited our podiatry office with a swollen ankle and extreme pain...
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Reader Questions:
Look Closely Before Billing for Inserts and Casting
Question: We bill to Medicare for our podiatry services. Our podiatrist has to attend fr...
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Reader Questions:
Clear Your Bilateral Procedure Confusions With This Advice
Question: Our podiatrist recently removed lesions on both feet of a patient. Should w...
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You Be the Coder:
Verify Exact OASIS® Matrix Product Used Before Billing Supply Code
Question: Our podiatrist documented an 8.5 cm excision (56.75 sq. cm), and but a 40 s...
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Podiatry Coding Alert - 2015; Volume 7, Number 5
Procedure Coding:
Obtain Max Payment for Os Trigonum Repair With These Tips
Support repair code with other bone conditions for maximum benefit. Your practice may ...
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Modifiers Update:
Make you Modifier Decisions Easy With These X{EPSU} Examples
The road for making modifier 59 a modifier of last resort becomes clearer. You may hav...
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E/M Components:
Choose Wisely Between 99213, 99214 to Collect Deserved Cash
Go through documentation with a keen eye to decide the levels of outpatient visit. Eve...
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Readers Questions:
28285 is the Port of Call for Arthrodesis of the Foot
Question: Our physician recently performed “Arthroplasty/arthodesis of the se...
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Readers Questions:
Check Modifier Eligibility Before Reporting Assistant Surgeon
Question: Our podiatrist recently stood in as an assistant physician for a severely woun...
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You Be the Coder:
Satisfy Supervision Requirements for Fluoroscopy Reporting
Question: We have a podiatrist that visits patients in a nursing home. Can we bill ...
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Podiatry Coding Alert - 2015; Volume 7, Number 4
Ligament Repair:
Lessen Your Ligament Repair Worries With This Definitive Guide
Keep watertight documentation at hand before reporting secondary repairs. You ar...
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Compliance Update:
Mind Those CERT Errors to Avoid a Dent in Your Claims
Your payer may require a refund in extreme cases. The results of the Centers for Medic...
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Quality Check:
Prepare Yourself for Further Payment Reforms
Pay close attention or you will be staring at a 6 percent deficit. You have been reeli...
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Readers Questions:
Aware of Bundles Before Coding Bunionectomy and Mallet Toe Correction
Question: A patient came into the office with a “rigid mallet toe” in r...
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You Be the Coder:
Category III Codes Will Rescue You in ESWT Reporting
Question: Our podiatry office encountered a patient recently and the notes said tha...
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Podiatry Coding Alert - 2015; Volume 7, Number 3
Graft Coding:
Secure Your Skin Repair Reimbursement With These Tips
Learn which common podiatry products line up with new skin graft codes Other than the ...
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Understand the Need for Skin Grafts.
The skin is a vital organ with several major functions and any open wound may lead to th...
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Medicare Alert:
Mind Your Modifiers for Medicare Coding Success
Sharpen your skills by clearing the confusion surrounding 57 and 25 reporting. Althoug...
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Nail Care:
Drive Away All Routine Care Reporting Demons With This Surefire Guide
Pinpoint the correct diagnosis codes to get out of ambiguous situations. You are walki...
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Readers Query:
Category III Codes Will Rescue You in ESWT Reporting
Question: Our podiatry office encountered a patient recently and the notes said tha...
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Reader Query:
Correct Order of Dx Codes is Important for Diabetic Foot Conditions
Question: I am coding for a patient who is diabetic w/ osteomyelitis w/ chronic ulc...
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Reader Query:
Decide Between Consult and Primary Care for Inpatient E/M Coding
Question: Our podiatrist was called in to evaluate and treat the patient that is in...
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You Be the Coder:
Check Op Notes in Lisfranc Fractures Before Billing 28606
Question: Our podiatrist saw a patient. His MRI stated that no actual fracture of t...
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Podiatry Coding Alert - 2015; Volume 7, Number 2
Lesion Excision:
Dig Into Details to Decipher Lesion and Tumor Codes
You need to distinguish between subcutaneous vs. subfascial cuts. If you’re not ...
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E/M Errors:
Beware These Top Pitfalls of E/M Coding
Be on a sharp lookout for common documentation errors to ensure coding success. Even t...
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Billing Compliance:
7-Point Plan Helps You Gear Up For Ethical Reporting of Services
OIG offers roadmap for preparing a compliance plan. Your practice can longer afford to...
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Reader Question:
Pinpoint the Correct Side in Foot Arthrodesis + Graft Procedure to Avoid Rejection
Question: I am billing for an outpatient surgical procedure for the right foot. The...
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You Be the Coder:
Billing 2028F With G0245 for Initial Visit Won't Pay
Question: My podiatrist sees a lot of patients with diabetes mellitus. Would it be ap...
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Podiatry Coding Alert - 2015; Volume 7, Number 1
Neuroma Treatment:
4 Simple Steps will Remove Your Fear of Using Plantar Digital Nerve Codes
Look for strength of alcohol injection to code 64455 or 64632. When your podiatrist pe...
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E/M Coding:
Resolve Your Medical Decision Making Conundrums With This Key Advice
The initial visit of an established beneficiary in a single specialty group practice set...
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ICD-10 Update:
Prepare to Work Harder to Report Gout diagnosis
You will have to report additional codes to justify the cause of gout and its bilaterali...
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Familiarize YourselfWith These Gout Facts
Gout is a rheumatic disease caused by deposition of uric acid crystals in tissues and fl...
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Readers Question:
Differentiate Between Nail Clipping and Nail Biopsy
Question: My doc saw a patient and did a clipping of the nail and sent to it to pat...
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Readers Question:
Choose the Right Q Modifier While Coding Excluded Procedures
Question: Our podiatrist attended to a new Medicare diabetic patient in the office ...
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Reader Question:
Demonstrate Distinct Multiple Procedures to Unbundle CCI Edits
Question: Our podiatrist visited an established patient at a nursing home but noted...
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You Be the Coder:
Look Beyond 28285 for Hammertoe Correction
Question: Our physician performed a partial phalangectomy on right fifth toe with a...
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