In Billing
May 8th, 2018
Knee orthoses are one of the highest sources of errors, a letter from CGS to providers warns, and the Medicare Administrative Contractor’s (MAC) wants providers to be more careful with documentation and reporting. How Do We Get Paid? The Centers for Medicare & Medicaid Services (CMS) requires medical necessity for the diagnosis or treatment of the ...
Get a personal perspective on consumer-driven healthcare, technology, procedures, outcomes, and partnerships. Many years of weekend athletics, hiking New Hampshire’s White Mountains, and three meniscus repairs left my right knee without cartilage. Standard conservative treatments — including nonsteroidal anti-inflammatory drugs (NSAIDS), hyaluronan injections, steroid injections, and physical thera...
Part 2: Open surgical procedures and non-operative procedures Last month, we discussed coding arthroscopic knee procedures. Now, let’s address coding open knee procedures, as well as non-operative services, including injections and fracture care. Open Procedures There is a wide range of CPT® codes (27301-27599) that covers the gamut of open knee services, such as incision, ...
Aug 13th, 2014
Durable medical equipment (DME) suppliers will soon have two new K codes (K0901 and K0902) for reporting off-the-shelf (OTS) prefabricated single and double upright knee orthoses to Medicare. To identify prefabricated single and double upright knee orthoses that are furnished in a variety of standard sizes and do not require the skills of an expert to ...
In Coding
Jun 1st, 2014
Answer three common uncertainties when reporting joint aspiration and/or injection. Coding is not easy, but some codes seem to cause more than their share of confusion. Based on feedback from Healthcare Business Monthly readers, and what we hear on AAPC Member Forums, one such “problem code” is 20610 Arthrocentesis, aspiration and/or injection; major joint or ...