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 CMS
Jan 6th, 2017
The National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services is updated once a year. The 2017 updates have been released. Chapter IV Surgery: Musculoskeletal system contains revisions to clarify limited and extensive debridement of the shoulder when performed with other shoulder procedures on the same shoulder. Subsection 4 In 2016, Section E (Arthroscopy), ...
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...
Be watchful of status indicators, modifier use, payer rules, and EOBs. The American Academy of Orthopaedic Surgeons (AAOS) has campaigned to reverse National Correct Coding Initiative (NCCI) bundling edits affecting shoulder arthroscopy procedures. Their efforts have been successful — although, possibly with a catch. Status Indicators Change, Guidelines Don’t Effective July 1, 2016, NCCI no ...
Oct 1st, 2014
Get precise with anatomy to help code SLAP lesions and Bankart defects. Ken Camilleis, CPC, CPC-I, CMRS, CCS-P Coding shoulder-related diagnoses and procedures can be a challenge, but a working knowledge of the shoulder’s intricate ball-and-socket anatomy can help. Let’s explore in detail the anatomy and coding related to two common shoulder diagnoses: superior labrum ...