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  1. J

    Wiki Excision Rheumatoid Nodule

    Hi , How would i code Excision of a Rheumatoid Nodule that is 2cm x 2cm left forearm subcutaneous Thankyou
  2. J

    Wiki Corpectomy w/Arthrodesis

    Hi If the Dr is doing an Arthrodesis C4-C5 and C5-C6, Corpectomy C5-C6 Would I bill it as 22554 C4-C5, 22585 C5-C6, 63081 C5-C6 Please help
  3. J

    Wiki MDM Pain Management procedures

    Gm I need education on pain management procedures in regards to MDM. The physician is billing 99214 when making a decision for the following procedures the dx falls within Number and Complexity of Problems Addressed. Its the following Procedures . Are they procedures below considered minor...
  4. J

    Wiki Cpt 23410 and 23630

    Can anyone send me a link from AAOS or anywhere why open Rotator Cuff repair be inclusive to a Orif Greater Tuberosity. I told the physcian it has a modifier indicator on it and its bundled , He is insisting i am wrong and one has nothing to do with the other. I advised the only way i can over...
  5. J

    Wiki E/M Orthopedics

    Does anyone know of a good Orthopedic Webinar for E/M specifically for Ortho. The Drs want example of chronic illnesses with exacerbation and or severe. They believe if the patient requires its automatically 99214. Karen Zupko webinars are just an outline of the change and doesn't go deep into...
  6. J

    Wiki Diagnosis for Subscapularis tear

    Would the Subscapularis be part of the Shoulder Girdle ?
  7. J

    Wiki Dx Hill Sachs Deformity

    Hi I am coding dx for Mri . The diagnosis is Hill Sachs Deformity . I cant find the appropriate dx. The mri doesnt say anything about injury or fracture or dislocations. Help
  8. J

    Wiki Help with Excision Mass Finger

    I need help. would you code an excision of a mass with its root eliminating from the ulnar aspect of the DIP Joint 1cm as a 26116.
  9. J

    Wiki Mues for cpt code 26145

    Hi If the Mue has 6 and the next Colum has Mue rationale as 3. Does that mean i can only code 3 for a single date of service for Cpt code 26145? The Dr performed synovectomy on 4 different fingers MUE Adjudication Indicator MUE Rationale Effective Date 6 3 Date of Service Edit: Clinical...
  10. J

    Wiki Exc/subcutaneous/subfascial

    If a mass is removed from the hand off the A1 pulley is that considered excision subcutaneous?
  11. J

    Wiki Interbody fusion

    Hi I need help Dr peformed an interbody fusion 22633 L4-L5, he did a laminectomy L3,L4,L5,S1 With the new codes how would i code L3 and S1 Since there at a different site from the interbody fusion ? Any feed back
  12. J

    Wiki Excision mass hand

    excision of a soft tissue mass on the hand 1cmx1cm how would you code it
  13. J

    Wiki Betamethasone Combo inj

    Hi I was wondering if anyone used a Betamethasone combo code J7999 . We were originally coding it as J0702 but was told because it was a compounded drug to code it as J7999 . Any in put would be helpful.
  14. J

    Wiki Arthroscopic excision of ganglion cyst

    The Dr performed a medial and lateral meniscectomy .In the intercondylar notch there was a ganglion cyst 1cm that was removed . Could i code for that separately as an unlisted procedure 29999 , since there is no cpt code for this as an arthroscopic procedure ? Or is this included with the...
  15. J

    Wiki Cpt code J0702

    I have a question about Cpt code J0702. If the Dr is administering 2cc . How many units do I bills for J0702 . I’m having a hard time figuring out the conversion. Thank you
  16. J

    Wiki Arthrodesis Posterior from T5 TO PELVIS

    Hi My Dr is performing Fusion with graft from T5 TO THE PELVIS, I HAVE COME UP WITH 22610 (T5-T6), 22614 X11 (T6-L5) IS THIS CORRECT , OR DO I NEED TO SEPARATE THE LUMBAR WITH 22612 AND BILL IT LIKE THIS 22610( T5-T6) 22614 X 7 (T6-L1) and then 22612 x4 (L1-L5) Do i code for the sacrum ? any...
  17. J

    Wiki ORIF of the Distal radius

    Hi, I AM CONFUSED OVER AN OPERATIVE REPORT, The Dr is not giving me any information about the fracture accept that its a Distal Radius Fx Intraarticular and displaced. In the operative report he puts a THREE hole plate. The hardware is extra articular . Cpt does not have a Code for just a ORIF...
  18. J

    Wiki ORIF Distal Radius

    Help. I am very confused abot cpt code 25607, 25608,25609 . What if you have an exta-articular fracture with two fragments , How would you code that ?
  19. J

    Wiki 76942 OR 76881 WITH 20550

    Hi, There is confusion in my office regarding 76942 and 76881 as to what code to use for 20550. We are imaging and saving the Ultrasound. Please help what code should we use
  20. J

    Wiki 27427 Ligamentous reconstruction (augmentation), knee; extra-articular

    Hi , I need help coding , The Dr ,operative report indicates Left knee MPFL RECONSTRUCTION along with Chondroplasty of the patella and loose body greater that 7mm , I coded 27427 and he is saying to code that with 29877 , Please help
  21. J

    Wiki Facet injections

    Hello, My Ortho DR is injecting cortisone WITHOUT IMAGING GUIDANCE into the facet joint in the spine. Its not muscle so I cannot use TRIGGER POINT and I cannot find a code that doesn't have imaging guidance , please help me
  22. J

    Wiki Help Excision Soft Tissue Mass Finget

    The DR is performing an excision soft tissue mass from the finger , it is excised from the root extending into the DIP joint, and removing the osteophyte off the dorsal base of the distal phalanx , I coded 26115 because the size of mass, However is there a code for the osteophyte ? Or is there a...
  23. J

    Wiki excision soft tissue mass with REMOVAL t of osteophyte

    Hi, can ANYONE HELP ME I AM CODING THE EXCISION AS 26115 BECAUSE THE MASS WAS LESS THAN 1.5 CM , HOWEVER IS THERE A SEPARATE CODE FOR THE OSTEOPHYE
  24. J

    Wiki Icd 10 for disc dessication

    Hi, I am need of refreshing on icd 10 , does anyone know if I would use the degenerative disc disease for disc dessication? I am not finding a code for it .. thank you
  25. J

    Wiki icd 10 code for tendinopathy shoulder

    Help please I cannot find Tendinopathy of shoulder , I looked in the icd 10 book and it keeps directing me in the index to see condition ,then disorder. Am I missing something ?
  26. J

    Wiki Icd 10 code for bicep tendon tear

    Hi, can someone please help me , WHAT ICD 10 CODE DO I USE FOR BICEP TENDON TEAR , ESPECIALLY WHEN THE REPORT SAY THAT THE TEAR IS DEGENERATIVE , WHEN I LOOK UP THE CODE IT TAKES ME TO SPONTANEOUS , THAT DOES NOT SEEM APPROPRIATE
  27. J

    Wiki Icd10 code for superior and anterior labral tear

    HI, please help if you can I need a icd10 code for degenerative superior and anterior labral tear ,
  28. J

    Wiki consult code 99243 ,99244

    Can anyone provide me with help/ proof. I was under the impression if a Dr request a consult with a another Dr and the dr consulting takes over the care , then we cannot bill for a consult code 99243 , I thought that we are only to consult and then give our written opinion and refer patient back...
  29. J

    Wiki Help with cpt code 22614

    my physician has performed a T5 TO T11 POSTERIOR SPINAL INSTRUMENTED FUSION . HE USED CPT CODE 22610 AND THEN BILLED 22614 7 TIMES , IS THAT CORRECT , I WAS UNDER THE IMPRESSION 1 LEVEL IS T5-T6, I WOULD LIKE TO CHANGE IT TO 22610 AND 22614 TIMES 4 , PLEASE HELP IM NEW TO SPINAL CODING
  30. J

    Wiki joint replacement medicare new rules 4/1/16

    Does the new global period effect surgeon who perform the sx
  31. J

    Wiki 29823 with 29824

    29823 arthroscopy shoulder surgical with debridement extensive : is bundling with 29824 (mumford) I have used a modifier 59 and operative does support the debridement , however my denials are still upheld , I donot see any edits that say that its inclusive
  32. J

    Wiki Depomedrol J1040

    Hi, if the Dr is billing 2cc or 2ml of 80mg of Depmodrol. Do I bill 2 units of J1040. Please help. Thanking you. In advance.
  33. J

    Wiki spinal coding cpt 22851

    Hi, im looking for feed back on this code, as per the guidelines two co surgeons are not reimbursed with modifier 62, Im told buy the Dr. that I must use this code, I was advising that one surgeon should bill with no modifier and our surgeon same specialty bill with modifier 80 , if any one...
  34. J

    Wiki Denials for 20611 Mediblue Blue Cross

    Since January we still have not been reimburse for this new code. The denial is non covered charges. We have done two levels of appeals with no appropriate denial as to why. Just a computer generated letter that they returned unsigned . that says non covered charges . Availlaty there website is...
  35. J

    Wiki SI injections

    Under fluoroscopy we use 27096 , not under fluoroscopy the Dr is coding 20610. I'm telling her that's wrong we need to use 20552 . she is challenging me . it clearly says it in cpt when you look up 27096 see 20552 without fluoroscopy.I'm not CPC certified but want to know if I'm right . thankyou
  36. J

    Wiki Injection kits

    Hi, I have sales rep trying to get our Drs to purchase injection kits with there own specific ndc and gave us a HCPS J3490 to use when billing for these kits. has anyone purchased these injection kits , we are advised that the reimbursement is anywhere from $400-$650.00 , any help is appreciated
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