Hint: a diabetes diagnosis is a requirement for both shoe prescriptions and foot care. Whether you are billing for diabetic foot care or diabetic shoes, the process can be complex. It requires fulfilling several conditions; otherwise, Medicare may reject your [...]
Consider the ulcer’s type and condition upon admission. Encounters involving non-pressure ulcers are a common occurrence in a podiatrist’s work. However, the frequent contact with these conditions does not necessarily guarantee their accurate reporting and reimbursement. Below we will take [...]
Question: I have a report for an emergency department (ED) encounter. A 7-year-old patient was brought into the ED with right upper arm pain following a car accident. The provider captured AP, PA, and lateral X-ray views of the patient’s [...]
Medical terminology will help you code these conditions more easily. Your podiatrist is likely to see patients with a variety of foot and ankle ulcers. In Podiatry Coding Alert Volume 15, Number 4, we looked at code choices for pressure [...]
Hint: Some will affect medical decision making (MDM). There are almost 1,500 ICD-10-CM changes scheduled to take effect on Oct. 1, 2022, and gastroenterology coders will soon have a handful number of new Z79 (Long term (current) drug therapy) codes [...]
Do you know the key terms that can lead you to the right replacement code? When your surgeon decides a patient needs a hip replacement, coders need to be ready to spring into action with knowledge of the different types [...]
But millions in overpayments are still alleged. A federal watchdog agency is up to its usual tricks in auditing home health agencies and finding their claims incorrectly billed, but audit errors are piling up in those cases. The latest examples [...]
Question: The podiatrist documented that the patient has a bunionette on her left foot. Which ICD-10 code should I report for this condition? Pennsylvania Subscriber Answer: You should report M21.622 (Bunionette of left foot) for this condition. Bunionette defined: A [...]
Question: An established patient who has a temporomandibular joint (TMJ) disorder reports for an evaluation and management (E/M) service. Notes indicate that the condition was, specifically, “TMJ, arthralgia, 2-sided.” During the E/M, the provider performed a problem-focused examination and history. [...]
Question: An established patient who has a temporomandibular joint (TMJ) disorder reports for an evaluation and management (E/M) service. Notes indicate that the condition was, specifically, “TMJ, arthralgia, 2-sided.” During the E/M, the provider performed a problem-focused examination and history. What [...]
