Orthopedic Coding Alert
After-Hours Coding
Illinois Subscriber
Answer: Code 99052 (services requested between 10:00 pm and 8:00 am in addition to basic service) can be reported in addition to the code(s) for the surgery. Unfortunately, many insurance carriers will not automatically offer additional reimbursement when this code is reported, and you will most likely need to appeal for additional compensation. For an orthopedic practice, this is an important point of contract negotiation with managed care carriers. Make sure the contract allows added compensation for emergency services rendered in the off hours of the morning and on weekends.
Orthopedic Coding Alert
- Correct Modifiers, Additional Codes Are Key in Overcoming Unique Conditions With THRs
Total hip replacements (THRs) are one of the most commonly performed orthopedic surgeries. Yet these [...] - CMS Memo Changes Rules for Diagnostic Coding
A new CMS policy that goes into effect Jan. 1, 2002, allows doctors to use [...] - You Be the Coder:
Knee Surgery
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Category III Codes May Lead to Reimbursement
In September 2001 the AMA introduced a series of temporary Category III, or emerging-technology, CPT [...] - Reader Question:
Confirmatory Consultation
Question: Should I bill for a confirmatory consultation when a patient requests a second opinion [...] - Reader Question:
Ankle Surgery
Question: Which codes should I use for arthroscopy and debridement of ankle: arthroscopic corticotomy of [...] - Reader Question:
After-Hours Coding
Question: A patient had to be taken into surgery late at night. According to the [...] - Reader Question:
Bundled Procedures
Question: I've gotten a denial from Medicare saying that 63044 is bundled with 63042. Yet [...] - Reader Question:
Operating Microscope
Question: We are receiving denials for 69990 when billed with spine procedures. Is anyone else [...] - Anthrax Coding Report Free on Web
Physicians and other healthcare professionals who provide services to any patients with actual or possible [...] - Reader Question:
Knee Procedures
Question: How should I code a knee arthroscopy with chondroplasty and partial lateral meniscectomy?
Michigan Subscriber [...] - Reader Question:
CCI or AAOS?
Question: The surgeon performed a Bostrom procedure (27698, repair, secondary, disrupted ligament, ankle, collateral [e.g., [...] - Reader Question:
Supply Billing
Question: Im having trouble getting paid for casting supplies (casting material, padding and tape) from [...]
