Orthopedic Coding Alert
CCI or AAOS?
California Subscriber
Answer: The AAOS Global Service Data guide seems hard to argue with because a committee of orthopedic surgeons developed the guidelines. In this era of intense focus on compliance, it would be advisable for your physicians to designate one set of edits as the official guidelines for your practice. Bouncing back and forth between the CCI and AAOS edits may not be viewed kindly in the event of an audit. If an orthopedist feels that a particular edit in the AAOS book is wrong, he should take it up with the AAOS committee on CPT coding.
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 [...]
