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Podiatry Coding Alert

CPT®:
Identify if Podiatrist Used Graft, Performed Primary or Secondary Achilles Tendon Repair
Hint: Report 27650 for primary Achilles rupture repair without graft. When your podiatris... Read more
Quiz:
5 Questions Test your 2021 E/M Office and Outpatient Codes Update Knowledge
Remember: Your physician should still perform a history and exam. During this past year, ... Read more
Denials:
Know Your Provider Advocate By Name, Conduct Research With Care to Prevent Denials
Remember: Ask detailed questions during the denial research phase. In her Virtual HEALT... Read more
You Be the Coder:
Decipher Os Trigonum Scenario
Question: The patient, a professional soccer player, was born with an os trigonum bone in ... Read more
Reader Question:
Be on Lookout for Vishing Scams
Question: Our external information technology (IT) person sent an email to our practice wa... Read more
Reader Questions:
Check for Associated Gangrene When Coding Pressure Ulcer Dx
Question: The podiatrist documented that the patient has a stage 3 pressure ulcer in her l... Read more
Reader Questions:
Rely on New Code for COVID-Related Expenses
Question: What do you know about the new CPT® code for reporting additional practice expe... Read more
Reader Questions:
Follow Expert Advice to Safeguard e-Signatures
Question: We recently performed a risk assessment in our practice and found that the e-sig... Read more
CPT®:
Submit Clean Debridement Claims by Identifying Involvement of Subcutaneous Tissue, Muscle and Fascia, or Bone
Hint: Distinguish wound debridement codes from active wound care management. When your po... Read more
ICD-10-CM:
5 Tips Perfect Your Pressure Ulcer Diagnosis Coding
Hint: Unspecified and unstageable pressure ulcers are not the same. The 2021 ICD-10-CM Of... Read more
MPFS:
CMS Proposes Steep Conversion Factor Cut in 2021 MPFS
CMS adopts interim final policy during COVID-19 PHE revising definition of direct supervis... Read more
You Be the Coder:
Grasp Appropriate Modifiers for Fracture Care Claims
Question: Can we report an E/M code for comfort care if we confirm that fracture care was ... Read more
Reader Questions:
Know NPP Rules for Clarity
Question Can qualified nonphysician practitioners (NPPs) “split” a service with a phys... Read more
Reader Questions:
Keep Achilles Dx Codes Separate
Question: A patient received treatment for a right Achilles injury. There is no other... Read more
Reader Questions:
Pinpoint Correct Arthritis Dx Code
Question: A 35-year-old male patient came into the podiatrist's office complaining of pain... Read more
Reader Questions:
Figure Out Incisional Biopsy Code for 1 Lesion
Question: My podiatrist used a blade to perform an incisional biopsy of one lesion on the... Read more
CPT®2021:
CPT® 2021 Brings Substantial Changes to Office and Outpatient E/M Codes 99202-99215
Remember: You should only use new code +99417 with codes 99205 and 99215. CPT® 2021 is h... Read more
Quiz:
5 Quick Questions Answer All of Your Pressing Gout ICD-10-CM Conundrums
Hint: The fifth character in a gout Dx code tells you the exact anatomic location. Since ... Read more
Telehealth:
Make Sure Your COVID-19 Telehealth Documentation Meets the Mark
Double check time, and audio/video documentation details. During the COVID-19 public heal... Read more
You Be the Coder:
Don’t Forget Anatomical Modifiers on This Claim
Question: My podiatrist performed correction/arthroplasty on the first, second, third, and... Read more
Reader Questions:
Count on These Codes for Stress Fractures
Question: The encounter notes indicate the patient suffered an ankle stress fracture. Shou... Read more
Reader Questions:
Learn How to Report 99211 Correctly
Question: I reported 99211 for a nurse visit with a Medicare patient when the provider wa... Read more
Reader Questions:
Distinguish Between Modifiers 52 and 53
Question: Our surgeon had to cancel a surgery midway through a procedure for the patient's... Read more
ICD-10-CM 2021:
New Rheumatoid Arthritis and Osteoporosis Codes Highlight Your Podiatry Changes for 2021
Hint: COVID-19 code U07.1 will officially be recorded in ICD-10-CM coding manual. CMS rec... Read more
CPT®:
5 Handy Tips Perfect Your Pilon Fracture Claims
Hint: Remember to append modifier 58 for staged fixations. If you ever come across “pil... Read more
E/M 2021:
Discover Revisions to New 2021 Level of MDM Table
The new CPT® guidelines will divide data into 3 categories. Rather than serving as one o... Read more
Reader Questions:
Hone Your Modifier 22 Smarts
Question: I'm having trouble securing any extra payment when appending modifier 22 to a co... Read more
Reader Questions:
Straighten Out This Hammertoe Conundrum
Question: The podiatrist diagnosed the patient with right-footed, acquired, rigid hammerto... Read more
Reader Questions:
Understand Proper Modifier Guidelines
Question: My colleague and I are having a discussion. She says that we need a modifier on ... Read more
You Be the Coder:
Report These Dx Codes to Avoid Foot Contusion Confusion
Question: Our podiatrist just saw a patient who had a contusion on his left foot. However,... Read more
Diabetic Shoes:
Get Your Most Pressing Diabetic Shoe Questions Answered With Expert Advice
Hint: The patient must have documented diabetes mellitus diagnosis to qualify for diabetic... Read more
ICD-10:
Identify Exact Location and Severity to Conquer Burn Claims in Your Podiatry Practice
Make sure to differentiate “burns” from “corrosion.” Reporting the correct ICD-1... Read more
Billing:
4 Tips Hone Your Medicare Smarts
Hint: Consider utilizing an MSP questionnaire. Successfully maneuvering through the Medi... Read more
Reader Questions:
Follow The 3-Year Rule For Patients
Question: When a physician joins a new practice and sees patients from the former practice... Read more
Reader Questions:
Grasp Importance of LCDs
Question: Does Medicare restrict coverage to only the diagnoses listed under the code's Lo... Read more
Reader Questions:
Be Careful of Inclusive Services
Question: My podiatrist performed a radiologic ankle arthrography with supervision and int... Read more
You Be the Coder:
Decipher Foot Pain Dx Scenario
Question: During a level-two evaluation and management (E/M) service for a new patient, my... Read more
Coding Strategy:
Identify 28118 and 28119 as Possible Treatment for Successful Heel Spur Claims
Hint: Report the appropriate J-codes along with 20551 for an injection. Your podiatrist d... Read more
CPT®:
Reporting Os Trigonum Syndrome? Follow These 5 Steps to Avoid Mistakes
Don't miss: Os trigonum is a congenital condition. When you come across a case of os trig... Read more
Documentation:
Focus on HPI, ROS, and A/P Improvement for Excellent Medical Documentation
Make sure your documentation is completely legible to any objective reader of the medical ... Read more
Reader Questions:
Don't Miss the Modifiers on This Claim
Question: The podiatrist performed a level-three evaluation and management (E/M) serv... Read more
Reader Questions:
Medicare FFS Claims Reviews Suspended During Pandemic
Question: We keep checking our Medicare carrier's website for the Targeted Probe and ... Read more
Reader Questions:
Solve Ankle Arthrotomy Case
Question: My podiatrist performed an arthrotomy of the patient's ankle, with joint ex... Read more
Reader Questions:
Observe Proper Dx Codes for Toe Wound Claim
Question: A diabetic patient presents to the office stating that she dropped a dirty ... Read more
You Be the Coder:
Dial Into Diabetic Foot Exam Code
Question: What code should I report for an initial diabetic foot exam for a Medicare ... Read more
COVID-19:
Find Out How to Report Presumptive Positive COVID-19 Cases — And More
Don't miss: You gained new chapter 22 in the ICD-10-CM manual. During the COVID-19 publi... Read more
CPT®:
Conquer 5 Types of Ankle Fracture Repair For Cleaner Claims
Hint: A bimalleolar ankle fracture involves two bones. Fracture repair can be extremely ... Read more
E/M 2021:
Upcoming 2021 E/M Changes Got You Stumped? These Mythbusters Safeguard Your Claims
You will say good-bye to 99201 in 2021. Starting on Jan. 1, 2021, new and established p... Read more
You Be the Coder:
Solve This Plantar Fasciitis Injection Scenario
Question: The patient complains of ongoing right heel pain, especially when he first gets ... Read more
Reader Question:
Puzzle Out This Calcaneal Fracture Situation
Question: The patient fractured his calcaneus into three places. The podiatrist took the ... Read more
Reader Question:
Solve This Ankle Tumor Conundrum
Question: My podiatrist made an incision in the area of a suspected sarcoma on the pa... Read more
Reader Question:
Understand Allowed Telecommunication Products
Question: Can you tell me which telecommunication products that are allowed to use fo... Read more
Telehealth, Part 1:
Discover Medicare's Latest Telehealth Updates With FAQs
During this PHE, both new and established patients can receive Medicare telehealth visits.... Read more
Telehealth, Part 2:
Dive Into Virtual Check-Ins, E-Visits, RPM, and Telephone E/Ms
Don't forget: E-visits use secure online portals. In the second part of this two-part se... Read more
COVID-19 Codes:
Master How to Report Brand-New COVID-19 Codes
CMS is establishing G2023 and G2024 for specimen collection during COVID-19 pandemic. D... Read more
Reader Question:
Focus on ICD-10 Options for Bunionettes
Question: The podiatrist documented that the patient has a bunionette on her left foot. Wh... Read more
You Be the Coder:
Demystify This Fractured Toe Scenario
Question: The podiatrist saw a new patient in his office. The podiatrist diagnosed the pat... Read more
CPT®:
5 Handy Tips Solidify Your Casting and Strapping Claims
Make sure you know when to report casting and strapping codes versus fracture/dislocation... Read more
ICD-10:
Don't Strike Out When Reporting Common Foot Dx for Athletes
Code M72.2 not blanket code that covers any condition associated with the plantar fascia. ... Read more
CPT®:
Don't Forget to Check the Errata List from AMA
Get ready to mark your coding manual with changes. Although the 2020 CPT® updates just... Read more
Reader Question:
Always Check for Included Conditions With ICD-10 Codes
Question: My podiatrist documented a diagnosis of congenital poikiloderma. I am not sure w... Read more
Reader Question:
Know 5 Levels of Medicare Appeals Process
Question: I submitted a claim to my Medicare Administrative Contractor (MAC) for a part B ... Read more
Reader Question:
Report These Codes for Stage 1 Pressure Ulcer Debridement
Question: My podiatrist performed debridement of a stage 1 pressure ulcer in the patient's... Read more
You Be the Coder:
Differentiate Between 64455 and 64632 With Ease
Question: The patient, a professional soccer player, has been experiencing tingling and bu... Read more
CPT®:
Master Simple and Complicated Abscess I&D for Clean Claims
Remember: To report 10060, the abscess must be simple or single. When your podiatrist per... Read more
E/M 2021:
Prep Now for Upcoming 2021 E/M Office Code Revisions
CPT® 2021 will delete 99201. Starting on Jan. 1, 2021, you will see major changes to the... Read more
Quiz:
FAQs Boost Your Plantar Fasciitis Coding to the Next Level
Code M72.2 is not a blanket code that covers any condition associated with the plantar fas... Read more
Reader Question:
Explore New 2020 Dry Needling Codes
Question: Can you tell me more about the new dry needling codes for CPT® 2020? Florida S... Read more
Reader Question:
Tackle Sesamoid Fracture Scenario
Question: The podiatrist performed closed treatment of a sesamoid bone fracture in the pat... Read more
Reader Question:
Discover Correct Code for Single Nail Plate Avulsion
Question: The podiatrist removed part of a single nail plate using simple avulsion techniq... Read more
Reader Question:
Master This Secondary Achilles Tendon Repair
Question: The podiatrist performed a repair of the patient's Achilles tendon for the secon... Read more
You Be the Coder:
Understand Tarsal Bone Anatomy to Choose Appropriate Code
Question: Which CPT® code would I use if the podiatrist performed a navicular bone repair... Read more
CERT:
CERT 2019 Report Discovers 13.6 Percent Improper Payment Rate for Podiatry
Pay close attention to your documentation.   As you are busy submitting multipl... Read more
Case Study:
Take 3 Steps to Solve This Compression Fracture Puzzle
Remember: Don't forget to report the x-ray code on your claim. You will most likely have ... Read more
Modifiers:
Handy Tips Solidify Your Modifier 78 Skills
Coders can expect reduced payment for any modifier 78 claims. Sometimes your podiatrist m... Read more
Reader Question:
Check Documentation Carefully for Part of Foot Amputated
Question: I'm new to podiatry coding, and I'm trying to understand the difference between ... Read more
Reader Question:
Special Symbol Identifies Add-On Codes
Question: I noticed that some evaluation and management (E/M) codes have a plus symbol (+)... Read more
Reader Question:
Differentiate Between Displaced and Non-Displaced Fractures
Question: What's the difference in a displaced and a non-displaced fracture? Alabama Subs... Read more
Reader Question:
Know How HIPAA Factors Into Disaster Plan
Question: We were going over our disaster preparedness plan in the office, and a few quest... Read more
Reader Question:
Pick Correct Ostectomy Choice
Question: The podiatrist removed the bone of the second metatarsal head because the head h... Read more
You Be the Coder:
Puzzle Out This Ankle Fracture Scenario
Question: A new patient came into the office after rolling his left ankle by stepping... Read more
HCPCS Level II 2020:
2020 HCPCS Level II Code Set Introduces Shiny New Knee Ankle Foot Device Code
Hint: Don't miss the risk-adjusted functional status change residual score deletion in 202... Read more
Case Study:
Solve This Bunionectomy Scenario to Perfect Your ICD-10 and CPT® Reporting Smarts
Use the scenario details to arrive at an answer. The odds are high that you will code cla... Read more
Tips:
Follow Handy Tips to Solve Your Medicare Signature Problems
Hint: You must heed certain guidelines for electronic signatures. Understanding Medicare'... Read more
Reader Question:
Observe Certifying Physician's Role
Question: When it comes to diabetic shoe claims, can the certifying physician be any kind ... Read more
Reader Question:
Master External Cause Codes
Question: I'm new to coding, and I was looking through the external cause codes in the ICD... Read more
Reader Question:
Rely On This Code For Calcaneal Spur Excision
Question: My podiatrist excised a calcaneal spur, with plantar fascial release. Which CPT... Read more
Reader Question:
Sharpen Ankle Fracture Coding Skills
Question: A new patient came into the podiatrist's office with a badly injured right ankle... Read more
Reader Question:
Podiatrist Performs Osteotomy of Second Metatarsal? Do This
Question: The podiatrist performed an osteotomy of the second metatarsal. He needed to len... Read more
You Be the Coder:
Clear Up Foot FBR Dilemma
Question: My podiatrist's notes indicate that a new patient with an injured foot had a for... Read more
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