Here is coding guidance to lift the weight from your shoulders. The Centers for Medicare & Medicaid Services (CMS) and the American Academy of Orthopaedic Surgeons (AAOS) have opposing views on shoulder anatomy. AAOS recognizes the glenohumeral joint, the acromioclavicular (AC) joint, and the subacromial bursa as separate anatomic areas. CMS, by contrast, considers the ...
Jul 1st, 2013
Check your state’s scope-of-practice requirements for podiatrists allowed to treat gastrocnemius equinus. By Angela Clements, CPC, COSC A change in the scope of practice for podiatric physicians in Louisiana now allows for above-the-ankle treatment—making the Pelican State the 44th state to permit podiatrists to treat at or above the ankle. For patients, the wider scope ...
In Billing
Apr 15th, 2011
Palmetto GBA has determined thermal capsulorrhaphy not medically necessary due to the lack of clinical evidence to demonstrate improved health outcomes. The Medicare administrative contractor (MAC) announced April 7 that claims submitted for this service will be denied. Also known as thermal coagulation of joints, radiofrequency thermal shrinkage, electrothermal assisted capsulorrhaphy (ETAC) and ...
Jun 1st, 2009
Three tips for getting unlisted procedure CPT® codes to work for you. By Torrey Kim, MA, CPC Question: What do the following procedures all have in common: Retropubic urethrolysis of a previously performed Burch colposuspension, laparoscopic distal pancreatectomy and splenectomy, electrosleep therapy, core decompression of the femoral head, thyroplasty, and endoscopic stapling of the diverticulum? ...
Nov 1st, 2007
Shoulder surgery has been revolutionized through arthroscopic equipment. By Annette Grady, CPC, CPC-H, CPC-P, CCS-P When dealing with the shoulder, the list of potential medical problems is as long as your arm. In this world of hustle and bustle, shoulders carry our life’s necessities: laptops, briefcases, handbags, babies, grocery bags, only to make us wonder ...