In Coding
Aug 15th, 2017
When reporting CPT® 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) general anesthesia—not local, moderate sedation, etc., is required. Per CPT Assistant (April 2005): CPT code 23700 is intended to be reported for the manipulation only when performed under general anesthesia. The code descriptors, which include the phrase &#...
In Billing
Aug 4th, 2015
by Marty Kotlar, DC, CPCO The Social Security Act (§30.1.) defines a chiropractor as a physician whose scope of practice is limited to manual manipulation or treatment of subluxation of the spine (subluxation may be demonstrated either by X-ray or physical examination). To support a Medicare patient’s initial visit, the chiropractor must document eight items in ...
Sep 1st, 2012
By Jeannie Dean, CPC, CPC-H, CPMA There is a common misconception that you cannot bill for fracture care in the emergency department (ED). The truth is that emergency physicians provide fracture care on a regular basis. To determine if fracture care can be billed in the ED, you must decide if the emergency physician is ...
Aug 1st, 2012
By Kathy Rowland, CPC, CEMC, CPC-I, CHC You have heard from many qualified, trained professionals in ICD-10-CM over the last several months, with some very informative articles on varying ICD-10-CM topics. As you prepare for the ICD-10-CM transition and implementation in your practice, you may benefit from hearing other health professionals speak on the topic ...
Jun 1st, 2012
It’s a worthwhile venture, but document and code claims carefully to get paid. By Marty Kotlar, DC, CHCC, CBCS Adding therapeutic procedures and modalities can be a great adjunct to a chiropractic practice. Many doctors of chiropractic medicine incorporate therapeutic procedures and modalities, and most insurance carriers (except Medicare) will reimburse chiropractors for them. Supervised ...