In Coding
Dec 4th, 2019
Anatomy is important when applying bundling rules to procedures. The shoulder is a complex joint, and proper coding for shoulder procedures requires a strong foundation of knowledge in anatomy and physiology. Shoulder arthroscopy codes particularly can be confusing as the guidelines for arthroscopic shoulder surgeries have changed considerably in the last decade. Here are some ...
In Audit
May 23rd, 2019
An auditor asked the question of postoperative sinus debridements while discussing functional endoscopic sinus surgery (FESS). It was asked if postoperative debridements are coded and chargeable when a septoplasty or a turbinate procedure is performed. Auditing Zero Global Days The reason the auditor qualified the question as a FESS surgery performed with a septoplasty or ...
In CMS
Jan 18th, 2019
There has been ongoing debate about how to code complex repairs versus tissue transfers and rearrangements. Correct coding requires an understanding of the two surgical approaches. In the latest update to the National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services, the Centers for Medicare & Medicaid Services (CMS) clarifies its definition of these ...
In Coding
Jul 1st, 2017
Coding for shoulder procedures is evolving; keep up to date with the changes. Coding for shoulder procedures has changed significantly since 2004. If you haven’t stayed current, chances are you are under- or over-coding. To make sure you recoup proper reimbursement, let’s address CPT® codes 29821, 29822, 29823, 29824, 29826, 29827, 29828, 29806, and 29807, ...
Pay attention to five details when filing claims. By Sivaraj Ramesh, CPC, CEMC, CCS To file accurate claims when coding and billing nail procedures, be familiar with the nuances of nail anatomy, common conditions, treatments, services, and procedures. Here are some tips to point you towards better nail reporting. Tip 1: Nail Down Your Anatomy ...