Orthopedic Coding Alert
Medicare Final Rule:
MPFS Conversion Factor a Tough Pill for 2023
Unless Congress acts, CF will be significantly cut. The Centers for Medicare & Medica... Read more
MPFS Conversion Factor a Tough Pill for 2023
Unless Congress acts, CF will be significantly cut. The Centers for Medicare & Medica... Read more
E/M 2023:
Extend Prolonged Service Smarts With New Codes
CMS and CPT® still at odds over when to add extra time. The Centers for Medicare & M... Read more
Extend Prolonged Service Smarts With New Codes
CMS and CPT® still at odds over when to add extra time. The Centers for Medicare & M... Read more
Clip & Save:
Consult This Chart to Select Codes
To avoid confusion over code choice for your Medicare and private payer patients, and to c... Read more
Consult This Chart to Select Codes
To avoid confusion over code choice for your Medicare and private payer patients, and to c... Read more
Injections:
Count This Instead of Shots for Accurate TPI Tally
Here's why the number of overall shots is irrelevant to your code choice. When a patient ... Read more
Count This Instead of Shots for Accurate TPI Tally
Here's why the number of overall shots is irrelevant to your code choice. When a patient ... Read more
Reader Questions:
Know Purpose of Shoulder Arthroscopy Before Coding
Question: Encounter notes indicate that the provider performed a level-four office e... Read more
Know Purpose of Shoulder Arthroscopy Before Coding
Question: Encounter notes indicate that the provider performed a level-four office e... Read more
Reader Questions:
Get Off on Right Foot With F/T Modifier Coding
Question: I'm relatively new to orthopedic coding, so a couple of the modifiers I'm f... Read more
Get Off on Right Foot With F/T Modifier Coding
Question: I'm relatively new to orthopedic coding, so a couple of the modifiers I'm f... Read more
You Be the Coder:
Allergic Arthritis Dx Nothing to Sneeze At
Question: Encounter notes indicate that a patient suffered from “allergic arthritis... Read more
Allergic Arthritis Dx Nothing to Sneeze At
Question: Encounter notes indicate that a patient suffered from “allergic arthritis... Read more
From Diagnosis to Surgery:
Follow These Rules When Coding Total Knee Replacements
Do you know the condition that will lead to most TKRs? Patients who require total knee re... Read more
Follow These Rules When Coding Total Knee Replacements
Do you know the condition that will lead to most TKRs? Patients who require total knee re... Read more
Surgery:
Wrist/Forearm Repair Comes With Several Coding Options
Also, there are imaging services that could come before the surgery. When a patient ruptu... Read more
Wrist/Forearm Repair Comes With Several Coding Options
Also, there are imaging services that could come before the surgery. When a patient ruptu... Read more
Diagnosis Deep Dive:
Get the Lowdown on New Low Back Pain Codes
Check in on coding this tricky condition. Coding low back pain can be a challenge because... Read more
Get the Lowdown on New Low Back Pain Codes
Check in on coding this tricky condition. Coding low back pain can be a challenge because... Read more
Reader Question:
Remember Combo Code on Tibia/Fibula Fix
Question: Encounter notes indicate that the surgeon performed osteotomy of a patient'... Read more
Remember Combo Code on Tibia/Fibula Fix
Question: Encounter notes indicate that the surgeon performed osteotomy of a patient'... Read more
Reader Question:
Don’t Worry, Stress Views Are Codeable
Question: Encounter notes indicate that the orthopedist performed a level-three evalu... Read more
Don’t Worry, Stress Views Are Codeable
Question: Encounter notes indicate that the orthopedist performed a level-three evalu... Read more
Reader Question:
7th Characters Go Deep for Some Conditions
Question: A patient had an unspecified displaced fracture of the first cervical verte... Read more
7th Characters Go Deep for Some Conditions
Question: A patient had an unspecified displaced fracture of the first cervical verte... Read more
Reader Question:
Look to T Codes for These Arthroplasties
Question: Encounter notes indicate that the orthopedist removed two total disc arthro... Read more
Look to T Codes for These Arthroplasties
Question: Encounter notes indicate that the orthopedist removed two total disc arthro... Read more
Reader Question:
Have You Heard? PHE Renewed Again
Question: What is the current status of the PHE for COVID-19, and when can we expect it to... Read more
Have You Heard? PHE Renewed Again
Question: What is the current status of the PHE for COVID-19, and when can we expect it to... Read more
You Be the Coder:
Look to Specific Dx for Felty’s Syndrome
Question: Encounter notes indicate that after a level-four evaluation and management (E/M)... Read more
Look to Specific Dx for Felty’s Syndrome
Question: Encounter notes indicate that after a level-four evaluation and management (E/M)... Read more
Condition Spotlight:
Use This Guide to Diagnosing Stenosis
Symptoms typically include pain in spine, extremities. Patients who need treatment for sp... Read more
Use This Guide to Diagnosing Stenosis
Symptoms typically include pain in spine, extremities. Patients who need treatment for sp... Read more
Condition Spotlight:
Conservative Tx Should Precede any Surgery for Spinal Stenosis
Providers rely on injections, rehab, PT before surgery. Once your provider confirms a cas... Read more
Conservative Tx Should Precede any Surgery for Spinal Stenosis
Providers rely on injections, rehab, PT before surgery. Once your provider confirms a cas... Read more
Compliance:
Code Correctly for Time to Avoid E/M Audits
Look for expert advice to take back to your practice. Using total time rather than counse... Read more
Code Correctly for Time to Avoid E/M Audits
Look for expert advice to take back to your practice. Using total time rather than counse... Read more
Reader Questions:
Get on Right Plane for Fixation Coding
Question: What is the difference between a uniplane external fixation system and mult... Read more
Get on Right Plane for Fixation Coding
Question: What is the difference between a uniplane external fixation system and mult... Read more
Reader Questions:
Answer Manipulation Question Before Coding This Dislocation Tx
Question: Encounter notes indicate that the provider performed treatment of a sterno... Read more
Answer Manipulation Question Before Coding This Dislocation Tx
Question: Encounter notes indicate that the provider performed treatment of a sterno... Read more
Reader Questions:
Use Px Status to Decide Code on E/M-Myelography Claim
Question: Encounter notes indicate that after an office evaluation and management (E/... Read more
Use Px Status to Decide Code on E/M-Myelography Claim
Question: Encounter notes indicate that after an office evaluation and management (E/... Read more
You Be the Coder:
Coding CTs for Shoulder Cysts
Question: A new patient reports to the orthopedist complaining of left shoulder pain.... Read more
Coding CTs for Shoulder Cysts
Question: A new patient reports to the orthopedist complaining of left shoulder pain.... Read more
CPT® 2023:
Arthroplasty, US Highlight Coding Changes
Here's what you'll report instead of +0163T in 2023. The AMA has finalized its list of CP... Read more
Arthroplasty, US Highlight Coding Changes
Here's what you'll report instead of +0163T in 2023. The AMA has finalized its list of CP... Read more
Surgical Coding:
Divide and Conquer These 3 Vertebral Surgeries
Differentiate among excision/corpectomy/osteotomy, then choose a code. Orthopedic coders ... Read more
Divide and Conquer These 3 Vertebral Surgeries
Differentiate among excision/corpectomy/osteotomy, then choose a code. Orthopedic coders ... Read more
News You Can Use:
Telehealth Legislation Looks to Extend Benefit Beyond PHE
Expect more changes in the coming months, too. If your organization has relied heavily on... Read more
Telehealth Legislation Looks to Extend Benefit Beyond PHE
Expect more changes in the coming months, too. If your organization has relied heavily on... Read more
Reader Questions:
Congress Passes Bill to Protect Telehealth — for now
Question: Have there been any official, federal government-led moves to make any of t... Read more
Congress Passes Bill to Protect Telehealth — for now
Question: Have there been any official, federal government-led moves to make any of t... Read more
Reader Questions:
Look for Combo Code for This Common 2-Condition Dx
Question: If a patient has lumbago and sciatica, should I report each condition separ... Read more
Look for Combo Code for This Common 2-Condition Dx
Question: If a patient has lumbago and sciatica, should I report each condition separ... Read more
Reader Questions:
Get More Info Before Choosing Spina Bifida Dx
Question: Encounter notes indicate that the provider treated a patient suffering fro... Read more
Get More Info Before Choosing Spina Bifida Dx
Question: Encounter notes indicate that the provider treated a patient suffering fro... Read more
Reader Questions:
Rein in Behavior That Could Compromise ePHI
Question: A provider in our practice informed us that they have been sending patient... Read more
Rein in Behavior That Could Compromise ePHI
Question: A provider in our practice informed us that they have been sending patient... Read more
You Be the Coder:
Follow the Clues to This Spinal Injury Dx
Question: Encounter notes indicate that the orthopedist performed a level-three evalu... Read more
Follow the Clues to This Spinal Injury Dx
Question: Encounter notes indicate that the orthopedist performed a level-three evalu... Read more
E/M 2023:
Hospital Codes Getting Big Revisions
Here's the group of observation codes that CPT® is completely deleting. Here we go again... Read more
Hospital Codes Getting Big Revisions
Here's the group of observation codes that CPT® is completely deleting. Here we go again... Read more
ICD-10 2023:
Check Out the Expansion of This Epiphysis Code Group
The M93.0- code set is about to get bigger. When ICD-10 2023 takes effect on Oct. 1, 2023... Read more
Check Out the Expansion of This Epiphysis Code Group
The M93.0- code set is about to get bigger. When ICD-10 2023 takes effect on Oct. 1, 2023... Read more
Modifier Madness, Pt. 2:
I.D. Separate E/M Before Coding With 25/57
Established patient + new problem? Don't assume billable E/M service. Get ready to round... Read more
I.D. Separate E/M Before Coding With 25/57
Established patient + new problem? Don't assume billable E/M service. Get ready to round... Read more
Reader Questions:
Choose From These 3 Codes for Kaschin-Beck
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Choose From These 3 Codes for Kaschin-Beck
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Reader Questions:
Separate Synovectomy Types Before Coding
Question: Encounter notes indicate that after a level-three office evaluation and man... Read more
Separate Synovectomy Types Before Coding
Question: Encounter notes indicate that after a level-three office evaluation and man... Read more
Reader Questions:
Recessions Are for Hamstrings As Well As Economies
Question: I overheard a colleague discussing a proximal hamstring recession. I assume... Read more
Recessions Are for Hamstrings As Well As Economies
Question: I overheard a colleague discussing a proximal hamstring recession. I assume... Read more
Reader Questions:
Ping This Code for PENG Blocks
Question: Do you know which CPT® code we should use for a PENG block? Ohio Subscrib... Read more
Ping This Code for PENG Blocks
Question: Do you know which CPT® code we should use for a PENG block? Ohio Subscrib... Read more
You Be the Coder:
2 Toe Fractures, Same Foot
Question: Encounter notes indicate that the provider performed closed treatment on a ... Read more
2 Toe Fractures, Same Foot
Question: Encounter notes indicate that the provider performed closed treatment on a ... Read more
ICD-10 2023:
Muscular Dystrophy Codes Highlight New Additions
Intraoperative/postprocedural complications get new codes, too. The final list for ICD-10... Read more
Muscular Dystrophy Codes Highlight New Additions
Intraoperative/postprocedural complications get new codes, too. The final list for ICD-10... Read more
Aspirations & Injections:
Keep Up With These Common Needle Procedures
Policy will drive whether to report dry needling. Patients that report to the orthopedist... Read more
Keep Up With These Common Needle Procedures
Policy will drive whether to report dry needling. Patients that report to the orthopedist... Read more
Modifier Madness, Pt. 1:
I.D. E/M Before Coding With 25/57
Remember, global days dictate which modifier is correct. When it comes to modifiers 25 an... Read more
I.D. E/M Before Coding With 25/57
Remember, global days dictate which modifier is correct. When it comes to modifiers 25 an... Read more
Reader Questions:
When a Diagnostic Procedure Turns Surgical, Coding Changes
Question: What is the difference between a diagnostic and a surgical elbow arthroscop... Read more
When a Diagnostic Procedure Turns Surgical, Coding Changes
Question: What is the difference between a diagnostic and a surgical elbow arthroscop... Read more
Reader Questions:
March Forward After Getting More Fracture Info
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
March Forward After Getting More Fracture Info
Question: Encounter notes indicate that the provider performed a level-three evaluati... Read more
Reader Questions:
Don’t Thumb Your Nose at This Specific Fracture Code
Question: What is a Bennett fracture, and how do I report CPT® and ICD-10 codes for ... Read more
Don’t Thumb Your Nose at This Specific Fracture Code
Question: What is a Bennett fracture, and how do I report CPT® and ICD-10 codes for ... Read more
Reader Questions:
No Horsing Around: This Condition Has a Specific Dx
Question: Notes indicate that the patient had “charley horse r calf.” Are there a... Read more
No Horsing Around: This Condition Has a Specific Dx
Question: Notes indicate that the patient had “charley horse r calf.” Are there a... Read more
You Be the Coder:
Shoulder Injury Leading to Surgery
Question: An established patient reports to the orthopedist with a right shoulder injury. ... Read more
Shoulder Injury Leading to Surgery
Question: An established patient reports to the orthopedist with a right shoulder injury. ... Read more
Surgical Coding:
Turn Rotator Cuff Fixes Into Coding Gold
Know how your provider might diagnose, treat these injuries. When your orthopedist treats... Read more
Turn Rotator Cuff Fixes Into Coding Gold
Know how your provider might diagnose, treat these injuries. When your orthopedist treats... Read more
Injections:
Consider Guidance, Joint Size on These Injections
Coding varies depending on whether joint is small, intermediate, major. Coding for joint ... Read more
Consider Guidance, Joint Size on These Injections
Coding varies depending on whether joint is small, intermediate, major. Coding for joint ... Read more
E/M Coding:
Roll With Incident-to Rules to Get Max E/M Payment
Here's why all incident-to services must have established care plan. If your orthopedic... Read more
Roll With Incident-to Rules to Get Max E/M Payment
Here's why all incident-to services must have established care plan. If your orthopedic... Read more
Reader Questions:
Focus on This Congenital Syndrome
Question: What is os trigonum syndrome and which ICD-10-CM code should I report for t... Read more
Focus on This Congenital Syndrome
Question: What is os trigonum syndrome and which ICD-10-CM code should I report for t... Read more
Reader Questions:
Get Modifier Right on Surgery-E/M Combo Encounter
Question: Encounter notes indicate that the surgeon performed an office/ outpatient ... Read more
Get Modifier Right on Surgery-E/M Combo Encounter
Question: Encounter notes indicate that the surgeon performed an office/ outpatient ... Read more
Reader Questions:
Get More Info, Land Most Accurate Codes for Neck Dx/Tx
Question: The provider treated a patient who came in complaining of neck pain that's ... Read more
Get More Info, Land Most Accurate Codes for Neck Dx/Tx
Question: The provider treated a patient who came in complaining of neck pain that's ... Read more
Reader Questions:
Alternate Terms Bring This Disc Disorder Dx to Light
Question: Encounter notes indicate that the provider diagnosed C2-C3 disc disorder w... Read more
Alternate Terms Bring This Disc Disorder Dx to Light
Question: Encounter notes indicate that the provider diagnosed C2-C3 disc disorder w... Read more
You Be the Coder:
Multiple Arthrodeses, 1 Session
Question: Encounter notes indicate that the provider performed two arthrodesis surgeries: ... Read more
Multiple Arthrodeses, 1 Session
Question: Encounter notes indicate that the provider performed two arthrodesis surgeries: ... Read more
Fracture Care 101:
Follow These Steps to Break Into Closed Tx Coding
Did you know traction can accompany closed fracture treatment? When your orthopedist perf... Read more
Follow These Steps to Break Into Closed Tx Coding
Did you know traction can accompany closed fracture treatment? When your orthopedist perf... Read more
Surgery Coding:
I.D. Partial/Total Hip Replacements, Stride to Coding Success
Do you know the key terms that can lead you to the right replacement code? When your su... Read more
I.D. Partial/Total Hip Replacements, Stride to Coding Success
Do you know the key terms that can lead you to the right replacement code? When your su... Read more
E/M Coding:
Max Out Claims by Knowing Non-Faceto- Face Time
Know how to capture work that occurs beyond the patient encounter. Every coder knows how ... Read more
Max Out Claims by Knowing Non-Faceto- Face Time
Know how to capture work that occurs beyond the patient encounter. Every coder knows how ... Read more
Reader Questions:
Choose Osteotomy Combo Code in Some Scenarios
Question: Encounter notes indicate that the provider performed osteotomies on the dis... Read more
Choose Osteotomy Combo Code in Some Scenarios
Question: Encounter notes indicate that the provider performed osteotomies on the dis... Read more
Reader Questions:
Scour Notes for Every Osteomyelitis Dx Detail
Question: During a level-three office evaluation and management (E/M) service for a n... Read more
Scour Notes for Every Osteomyelitis Dx Detail
Question: During a level-three office evaluation and management (E/M) service for a n... Read more
Reader Questions:
Don’t Confuse Dupuytren Contracture With This Common Dx
Question: Encounter notes indicate that the patient suffered from Dupuytren contractu... Read more
Don’t Confuse Dupuytren Contracture With This Common Dx
Question: Encounter notes indicate that the patient suffered from Dupuytren contractu... Read more
You Be the Coder:
Needle Guidance for X-rays
Question: Encounter notes indicate that the provider performed a right wrist arthrography,... Read more
Needle Guidance for X-rays
Question: Encounter notes indicate that the provider performed a right wrist arthrography,... Read more
ICD-10 Coding:
Bone Up on Rules for Osteoarthritis Dx Coding
Hip/knee osteoarthritis most common for many ortho practices. Patients often report to th... Read more
Bone Up on Rules for Osteoarthritis Dx Coding
Hip/knee osteoarthritis most common for many ortho practices. Patients often report to th... Read more
Modifier Madness:
Keep 26, 54 Close for Partial Service Coding
Do you know when to use professional component modifier? There are times when your ortho... Read more
Keep 26, 54 Close for Partial Service Coding
Do you know when to use professional component modifier? There are times when your ortho... Read more
Case Study Corner:
Check Out These Limited/Complete Wrist Arthrodesis Claims
Master scenarios like these and arthrodesis coding will improve. In our last issue (Volum... Read more
Check Out These Limited/Complete Wrist Arthrodesis Claims
Master scenarios like these and arthrodesis coding will improve. In our last issue (Volum... Read more
You Be the Coder:
Getting a Spot-On Synovia Excision Code
Question: The orthopedist performed an office evaluation and management (E/M) service for ... Read more
Getting a Spot-On Synovia Excision Code
Question: The orthopedist performed an office evaluation and management (E/M) service for ... Read more
Reader Questions:
Mine Alternate Terms on Muscular Dystrophy Dx
Question: What is the diagnosis code for a patient with muscular dystrophy? AAPC Forum Su... Read more
Mine Alternate Terms on Muscular Dystrophy Dx
Question: What is the diagnosis code for a patient with muscular dystrophy? AAPC Forum Su... Read more
Reader Questions:
#Resequenced Is Always Trending in CPT® Manual
Question: I was coding for a patient who had a spinal puncture, and was perusing this sect... Read more
#Resequenced Is Always Trending in CPT® Manual
Question: I was coding for a patient who had a spinal puncture, and was perusing this sect... Read more
Reader Questions:
And/Or Can Make a Big Difference in Surgical Coding
Question: Encounter notes indicate that the surgeon performed repair of a nonunion in a pa... Read more
And/Or Can Make a Big Difference in Surgical Coding
Question: Encounter notes indicate that the surgeon performed repair of a nonunion in a pa... Read more
Reader Questions:
Mark Multiple-Region Myelographies With These Codes
Question: How do I report myelography? Texas Subscriber Answer: This will depend on how ... Read more
Mark Multiple-Region Myelographies With These Codes
Question: How do I report myelography? Texas Subscriber Answer: This will depend on how ... Read more
Reader Questions:
Don’t Throw in the Towel When Presented With Tough Discitis Dx
Question: Encounter notes indicate that the patient suffered from “discitis.” That's a... Read more
Don’t Throw in the Towel When Presented With Tough Discitis Dx
Question: Encounter notes indicate that the patient suffered from “discitis.” That's a... Read more
Surgery:
Learn Code Specifics, Lower Risk on Wrist Arthrodesis Claims
Here's the code to choose for complete arthrodesis with sliding graft. Patients who repor... Read more
Learn Code Specifics, Lower Risk on Wrist Arthrodesis Claims
Here's the code to choose for complete arthrodesis with sliding graft. Patients who repor... Read more
Case Study Corner:
Check Out These Wrist Arthrodesis Scenarios
Do you know the difference between total and partial arthrodesis? When a patient presen... Read more
Check Out These Wrist Arthrodesis Scenarios
Do you know the difference between total and partial arthrodesis? When a patient presen... Read more
E/M Coding:
Use VANDALISM to Verify Hospital Care Specifics
Mnemonic device can help you ace hospital claims. Getting all the information just right ... Read more
Use VANDALISM to Verify Hospital Care Specifics
Mnemonic device can help you ace hospital claims. Getting all the information just right ... Read more
Modifier Madness:
Keep Q6 in Mind for Locum Tenens/FTC Claims
Do you know the new Medicare term for locum tenens? When one of your physicians takes a ... Read more
Keep Q6 in Mind for Locum Tenens/FTC Claims
Do you know the new Medicare term for locum tenens? When one of your physicians takes a ... Read more
Reader Questions:
Get Hip to Contracture ICD-10 Rules
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Get Hip to Contracture ICD-10 Rules
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Reader Questions:
Remember X Factor for These 7 Character Dx Codes
Question: Encounter notes indicate that a patient suffered from periprosthetic fractu... Read more
Remember X Factor for These 7 Character Dx Codes
Question: Encounter notes indicate that a patient suffered from periprosthetic fractu... Read more
Reader Questions:
Follow These Steps to Correct Sternoclavicular Dislocation Code
Question: What is a sternoclavicular dislocation, and how do I report surgical repair... Read more
Follow These Steps to Correct Sternoclavicular Dislocation Code
Question: What is a sternoclavicular dislocation, and how do I report surgical repair... Read more
Reader Questions:
Use This Current Conditions Guidance for Tricky Dx
Question: When preparing a claim, should you enter the diagnosis code only for the co... Read more
Use This Current Conditions Guidance for Tricky Dx
Question: When preparing a claim, should you enter the diagnosis code only for the co... Read more
Reader Questions:
Use This Advice for Previous Patient E/Ms
Question: If a patient sees one surgeon in our practice, then one year later sees a ... Read more
Use This Advice for Previous Patient E/Ms
Question: If a patient sees one surgeon in our practice, then one year later sees a ... Read more
You Be the Coder:
Coding Multiple Rib Fractures
Question: Encounter notes indicate that the surgeon performed open treatment of multi... Read more
Coding Multiple Rib Fractures
Question: Encounter notes indicate that the surgeon performed open treatment of multi... Read more
News You Can Use:
Late-Year Push Ups CF (Slightly) As Errata Straightens Spinal Issues
In a rare move, CMS increased the CF after the final rule this year. The new year has ar... Read more
Late-Year Push Ups CF (Slightly) As Errata Straightens Spinal Issues
In a rare move, CMS increased the CF after the final rule this year. The new year has ar... Read more
Condition Spotlight:
Know Diagnostic, Surgical Codes for Achilles Claims Success
Do you know what a Thompson test is? Coders that have any concerns about their ability t... Read more
Know Diagnostic, Surgical Codes for Achilles Claims Success
Do you know what a Thompson test is? Coders that have any concerns about their ability t... Read more
E/M Coding:
Get Back to the Basics on Hospital Coding
Inpatients staying more than 1 day have different codes. When your orthopedist performs ... Read more
Get Back to the Basics on Hospital Coding
Inpatients staying more than 1 day have different codes. When your orthopedist performs ... Read more
Reader Questions:
CPT® Rolls Out New Telehealth Modifier
Question: I heard there was a new telehealth modifier that we're supposed to be using... Read more
CPT® Rolls Out New Telehealth Modifier
Question: I heard there was a new telehealth modifier that we're supposed to be using... Read more
Reader Questions:
Look to This Dx for Ligamentous Laxity
Question: Notes indicate the provider treated a patient with “ligamentous laxity, R... Read more
Look to This Dx for Ligamentous Laxity
Question: Notes indicate the provider treated a patient with “ligamentous laxity, R... Read more
Reader Questions:
Check Out Category M72.- for Plantar Fasciitis
Question: The provider diagnosed the patient with plantar fasciitis. What is plantar ... Read more
Check Out Category M72.- for Plantar Fasciitis
Question: The provider diagnosed the patient with plantar fasciitis. What is plantar ... Read more
You Be the Coder:
Can You Make All the Right Coding Moves on This Fx Encounter?
Question: Notes indicate that the surgeon performed an outpatient evaluation and manageme... Read more
Can You Make All the Right Coding Moves on This Fx Encounter?
Question: Notes indicate that the surgeon performed an outpatient evaluation and manageme... Read more
CMS Final Rule:
Conversion Rate Dips for 2022
No increase in pay for providers this year. The final rule has finally been published, an... Read more
Conversion Rate Dips for 2022
No increase in pay for providers this year. The final rule has finally been published, an... Read more
Imaging:
Get Specific When Choosing MRI Code
Anatomy only the beginning when looking for right MRI code. Patients that report to you... Read more
Get Specific When Choosing MRI Code
Anatomy only the beginning when looking for right MRI code. Patients that report to you... Read more
Case Study Corner:
Be Ready When Knee Arthroscopy Turns Surgical
Do you know if you can code for a Dx and surgical arthroscopy on same injury? Patients ... Read more
Be Ready When Knee Arthroscopy Turns Surgical
Do you know if you can code for a Dx and surgical arthroscopy on same injury? Patients ... Read more
Reader Questions:
Get Specific Details on Prosthetic Shoulder Removal
Question: If we remove a prosthetic shoulder implant, how can we code for it? Also, are th... Read more
Get Specific Details on Prosthetic Shoulder Removal
Question: If we remove a prosthetic shoulder implant, how can we code for it? Also, are th... Read more
Reader Questions:
Use T Codes for Additional Interspace Removals
Question: Encounter notes indicate that the surgeon removed a total disc arthroplasty (art... Read more
Use T Codes for Additional Interspace Removals
Question: Encounter notes indicate that the surgeon removed a total disc arthroplasty (art... Read more
Reader Questions:
Remember 7th Character on Fracture
Question: Notes indicate the provider performed a level-four office evaluation and managem... Read more
Remember 7th Character on Fracture
Question: Notes indicate the provider performed a level-four office evaluation and managem... Read more
Reader Questions:
Keep Up With Modifier 25 Rules
Question: Have the modifier 25 rules changed now that the E/M guidelines are different? My... Read more
Keep Up With Modifier 25 Rules
Question: Have the modifier 25 rules changed now that the E/M guidelines are different? My... Read more
You Be the Coder:
Get Specifics of Anatomy Right on PET Scan
Question: Notes indicate our provider performed ‘PET scan, whole body.' I reported 78811... Read more
Get Specifics of Anatomy Right on PET Scan
Question: Notes indicate our provider performed ‘PET scan, whole body.' I reported 78811... Read more