Orthopedic Coding Alert
File Electronically and by Paper When Necessary
Question: We have difficulty filing paper claims for unlisted-procedure codes. Our payer says we are not in compliance with -timely filing- requirements. Do you have any suggestions? Answer: Many payers require electronic claims as proof of timely filing. But on many occasions, you must provide full documentation and therefore you should file a paper claim -- such as when you file claims with unlisted-procedure codes, or claims with modifier 22 (Unusual procedural services) or reduced or discontinued services (modifier 52 or 53).
Massachusetts Subscriber
The solution is simple: File the claim electronically and then submit paper documentation separately. Be sure to include a note with the paper claim explaining, -This is not a duplicate claim. This documentation supports an electronic claim.-
Orthopedic Coding Alert
- Nail Down Confusing Ankle-Fracture Lingo To Choose the Correct Code
Pinpoint which ankle or foot bone the patient fractured before you bill If you don't [...] - Let This Chart Help You Pinpoint Accurate Ankle-Fracture Codes
Match the fx site to the documentation and you-ll find the right code each time
If [...] - Limit 69990 to Once Per Session -- Not Per Level
Insurers that reimburse operating microscope are very finicky Before you assign 69990 every time the [...] - You Be the Coder:
Should We Report Fluoro Per Site?
Question: We have a fluoroscopy machine in our office, and we bill 76000 when the [...] - Coding Quiz:
Determine Your NPP Coding Know-How
Can you bill incident-to in the hospital? The answer may surprise you You might think [...] - Reader Questions:
Don't Forget Fluoro With Biopsy
Question: Our surgeon performed a disk biopsy at levels L5 and S1 using a Craig [...] - Reader Questions:
File Electronically and by Paper When Necessary
Question: We have difficulty filing paper claims for unlisted-procedure codes. Our payer says we are [...] - Reader Questions:
Consider 27630 for Achilles Lesion Excision
Question: Our surgeon documented an excision for thickening of the Achilles tendon, and dictated a [...] - Reader Questions:
Don't Bill 99051 as Stand-Alone Code
Question: Regarding CPT 2006's introduction of 99051, I have three questions:
1. Should we use 99051 [...] - Reader Questions:
Look to 29862 for Arthroscopic Hip Repair
Question: Our surgeon treated a patient for femoral acetabular impingement with probable articular damage, with [...] - Reader Questions:
You May Be Able to Collect for VAC
Question: I-ve heard that we can now collect from Medicare for VAC therapy (as of [...] - Guest Column:
Annette Grady, CPC, CPC-H, CPC-P, OS: Avoid These Common ASC Coding Mistakes Or Face Denials
If you-re new to surgery center coding, make modifier SG your friend Any orthopedic coder [...] - Will Your ASC Profit From Implant Services? You Decide
When you perform a procedure in an ASC, the surgeon's supplies are not separately reimbursable. [...] - Lightning Round:
2 FAQs Can Help ASC Coders Collect
You-ve learned the basics, now master ASC Coding
If you code for an ambulatory surgical center [...]
