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 ...
In Coding
Dec 12th, 2016
Question: What is the distinction between “limited” and “extensive” debridement as described in CPT® codes 29822 Arthroscopy, shoulder, surgical; debridement, limited and 29823 …extensive, and 29837 Arthroscopy, elbow, surgical; debridement, limited and 29833 …extensive? Answer: CPT®/AMA guidelines are little use in distinguishing limited versus extensive debridement. To give providers and coders d...
Aug 22nd, 2016
Diabetes is a metabolic disease that can lead to other conditions, such as diabetic peripheral neuropathy (nerve damage) and the resulting loss of protective sensation (LOPS). Routine foot care (cutting, clipping or debriding toenails, for example) is generally non-covered under Medicare, but may be covered for beneficiaries who are diagnosed with diabetic peripheral neuropathy because ...