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Orthopedic Coding Alert

CCI 15.0 Update:

Consider Nerve Blocks, Injections Inherent to Most New Ortho Codes -- Or Face Denials

Published on Tue Mar 03, 2009

Watch out: Not all these new edits allow you to unbundle them with a modifier. Although Correct Coding Initiative (CCI) version 15.0 applies a bevy of edits to orthopedic codes, you shouldn't feel overwhelmed. This simple action plan will steer your orthopedic practice clear of Medicare payback requests for fixation, fasciotomy, and aspiration services. Step 1: Include X-Rays in Multiplane Fixation Codes First off, your new multiplane external fixation codes (20696, Application of multiplane [pins or wires in more than one plane], unilateral, external fixation with stereotactic computer-assisted adjustment [e.g.,spatial frame], including imaging; initial and subsequent alignment[s], assessment[s], and computation[s] of adjustment schedule[s]; and 20697 (... exchange [i.e., removal and replacement] of strut, each) did not escape CCI 15.0's notice. Codes 20696 and 20697 include dozens of edits, including many x-ray, CT, and MRI codes. Also, these two new codes will now include: - epidural injections (62318-62319) - nerve blocks [...]
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