Orthopedic Coding Alert

You Be the Coder:

Capsulotomy and X-Ray Encounter

Question: An established patient suffering from rheumatoid myopathy with rheumatoid arthritis (RA) of the right foot reports to the orthopedist’s office. The orthopedist performs a level-four evaluation and management (E/M) service, takes a three-view right foot X-ray, and decides to perform a capsulotomy involving only medial release. How should I report this encounter? AAPC Forum Subscriber Answer: For this encounter, you should [...]
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