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 ...
Part 2: Knowledge is your best defense against up-coding and missing or insufficient documentation. This month, we conclude our review of common mistakes leading to orthopedic claims denials, with tips to avoid those mistakes. In the last issue, we discussed unbundling and medical policies. Now, we’ll discuss up-coding and no or insufficient documentation. Note: Although this ...
Develop a deeper understanding of debridement coding with this quick review of essential elements. Wound care involves assessment, management, and cleansing of the wound; simple debridement; and removal and reapplication of the wound dressings. Accurate reporting of wound care services requires a thorough understanding of skin anatomy, the codes that describe these services, and documentation ...
In Coding
Mar 1st, 2016
CPT®/AMA guidelines aren’t much help to distinguish limited versus 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. For example, a “Frequently Asked Question” in the April 2012 CPT® Assistant instructs, “…if a subacromial decompr...
Shed damaging coding habits and promote healthy reporting of wound debridement procedures. Wound debridement is a medical procedure that removes infected, damaged, or dead tissue to promote healing. Debridement is generally associated with injuries, infections, wounds, and ulcers. To better understand how to code properly for wound debridement, let’s first look at why debridement is ...