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By Cynthia Everlith BSHA CPC CMA Fracture care may seem straightforward but there are common misconceptions and confusion when it comes to the different types of fractures and how to bill for services... [ Read More ]
Two questions.. 1) I can not find any information on how much time Medicare allows for outpatient mental health therapy cpt 90837 per week, I thought it was one hour per week limit, but I can not loca... [ Read More ]
I was taught that a limited would be debridement of a single area like the cuff, labrum or bicep tendon, or a chondroplasty of the glenoid OR humeral head and that an extensive would be a chondroplast... [ Read More ]
I have a provider that revised an instable total knee. He ended up revising the entire femoral component, added posterior and distal augmentation lugs, and then only revised the tibial poly. Does this... [ Read More ]
When a synovectomy (or I&D) is performed with a polyethylene exchange, (yet neither the tibial nor femoral components are removed), which code is most appropriate? From what I am see... [ Read More ]
The physician I bill for saw a patient with an insurance that he is not contracted with. He is performing wound care at the local hospital, so the hospital bills their portion as well. My question i... [ Read More ]
CPT codes 57454 & 57420
Per NCCI edits, 57420 is bundled to 57454 and not allowed separate reimbursement
Is there any circumstance where 57454 and 57420 are both payable?
Appreciate the feedback... [ Read More ]
I posted a previous question about a septectomy for some advice if the info I had was considered enough to bill out for it. I found cpt code 30520 because that is what my coding book said was the code... [ Read More ]