Orthopedic Coding Alert
Bookmark This Fee Schedule Site on Your Browser
Try this efficiency booster for yourself today If you need to check a code or two on the fee schedule in a hurry, CMS offers a look-up tool that only takes a few seconds. Here's how it works: 1. Head to http://www.cms.hhs.gov/PFSlookup/. 2. Click Physician fee schedule Search. 3. Choose the year, number of HCPCS (remember, HCPCS includes CPT) and type of information. Choose "Pricing Information" if you want pricing specific to your location. 4. Continue to follow the instructions until you get the information you-re searching for. Example: You want to know a Miami practice's reimbursement for 28400 (Closed treatment of calcaneal fracture; without manipulation) for a service performed in 2007. You select: - 2007 - single HCPC code - pricing information - next. On the next page, you select: - specific locality - default fields - next. On page 3, you enter: - HCPC: 28400 - modifier: global - carrier locality: Miami, FL (selected from a list) - submit. The result page shows that the nonfacility limiting charge for 28400 in Miami is $270.07 for 2007 procedures and the nonfacility price is $247.20.
Orthopedic Coding Alert
- 5 Clues Help You Reap Hundreds of Dollars on Every 20692 Claim
-Olive wire- will give you the answer you need every time If your surgeons use [...] - Let This Guide Help Pinpoint 20690 and 20692 Clues
Compare uniplane and multiplane op report indicators The next time you-re struggling to determine which [...] - 2008 Update:
Did You Catch the Modifier 51 Change for 20692?
Here's the truth behind why CPT removed this code from Appendix E In CPT 2008, [...] - CPT 2008 Drives Multiple Orthopedic CCI Edit Changes
Ex fix dominates deleted edits Correct Coding Initiative (CCI) version 14.0, effective Jan. 1, follows [...] - Q4050 Could Boost Your Claim by $50:
Here's How
But heed payers- A and Q code preferences -- or pay the price Suppose a [...] - You Be the Coder:
Hunt Down Styloid Codes
Question: Which CPT and ICD-9 codes should I use for a closed ulnar styloid fracture? [...] - Reader Questions:
Tackle TFCC and Ulnar Abutment Coding
Question: What is the appropriate ICD-9 code for an acute triangular fibrocartilage tear and ulnar [...] - Reader Questions:
Pick Proper Pectoralis Code
Question: Which CPT code should I report for a torn pectoralis major muscle repair? South [...] - Reader Questions:
Include Notchplasty in ACL Reconstruction
Question: How should I code an arthroscopic notchplasty? The surgeon performed the procedure due to [...] - Reader Questions:
Global Period Doesn't Apply to Assistant
Question: If a neurosurgeon calls our orthopedic surgeon to the OR to assist, does the [...] - Reader Questions:
Not All 23420 Guidance Is Authoritative
Question: Are there any authoritative guidelines on when to use 23420? Rhode Island Subscriber Answer: [...] - Guest Columnist:
Douglas Jorgensen, DO, CPC: How to Query Your Surgeon for the Most Accurate Code
Put these timing tips to work for you Problem: Physicians and mid-level providers, scurrying to [...] - Do You Have a Doctor/Coder on Staff?
Another approach to making sure physicians and coders are on the same page is to [...] - Expert Advice:
Eliminate Undercoding or Pay the Price
Communication is key to avoiding both overcoding and undercoding If you undercode, you aren't being [...] - Advanced Lesson:
Do the Math to Encourage Clean Claims, Documentation
Additional procedures add up fast Suppose your surgeon performs an open reduction/internal fixation of a [...] - Quick Reference:
Bookmark This Fee Schedule Site on Your Browser
Try this efficiency booster for yourself today If you need to check a code or [...]
