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    Question 99212 OR 99213 follow up fracture care

    Thank you Debra I would code the 99212 also. The doctors are looking for level 3 coding, so just checking my coding.
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    Question 99212 OR 99213 follow up fracture care

    Would like to have this office visit "audited" by another coder on the e/m visit code. CC: Left Elbow Fracture DOI 10-14-2019 HPI: X-rays performed in house No complaints. He is here with his father MEDICAL HISTORY: Denies MEDICATIONS; None ALLERGIES; NKDA VITALS [ALL...
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    Question Physeal Sparing ACL Reconstruction

    Patient had Arthroscopy, and ACL Reconstruction. Dr. did a "physeal sparing" and wants to know if there is a CPT code for this part of the procedure or is it included in the 29888? First time I have come across this, so need some guidance. Thanks CW
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    Question Assist at Surgery Modifer Order

    I am unsure of the correct modifier position on procedure 29826, whether the AS should be first position, or 59 is correct ? This is a PA assisting on the surgery. CPT 23412-AS-LT CPT 29823-AS-LT CPT 29826-59-AS-LT Appreciate any and all responses, CW
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    Bone Grafting tibial and femoral tunnels knee, failed ACL

    Procedures Performed Arthroscopy Debridement ACL Graft Removal Tibial Button Bone Grafting Tibial and Femoral Tunnels knee Portion of op note reads as follows: ACL was completely absent in mid aspect. Remaining soft tissue was debrided along tibia. Tibial tunnel was found to be anterior...
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    New VS Established Question

    I am still questioning whether we have to bill an established patient visit [orthopedic office] for a patient that saw a Podiatrist prior to seeing our Orthopedic doctor. The Podiatrist has just moved his practice into our Orthopedic Suite, and I billed a new patient visit for a patient who had...
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    97760 orthotic training

    Can anyone answer my earlier question regarding an orthopedic office billing 97760. I have been using this code, and making sure I have a diagnosis for the "fitting and training of an orthopedic supply". Would appreciate any and all responses. Thank you
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    Question Proximal Humeral Fracture Dislocation

    Title of Procedure: Attempted Closed, Open Reduction and Internal Fixation Proximal Humeral Fracture Dislocation Post op Diagnosis: Posterior fracture Dislocation, Left Shoulder Looking at CPT 23615 for this surgical case. Operative note extensive, so did not provide. Questions concerning...
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    non-verbal icd-10 code

    I also would like to know if there is an icd10 code for non-speaking English patients. A family member or friend is with the patient to translate, but would like to be able to add this diagnosis to claim .
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    Metacarpal fractures

    Patient had displaced fifth metacarpal fracture and a third metacarpal fracture. Fifth metacarpal fracture was manipulated in office. Third metacarpal was not manipulated. My posting would be 26605 for the fifth metacarpal fracture. For third metacarpal I will code 26600-59. Am I correct in this...
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    99212 or 99213

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    99212 or 99213

    Need a refresher and would like someone to audit this visit for a patient that returns for follow up of her left knee pain and MRI results CC: MRI results of Left Knee HPI: Orthopedics Patient comes in for follow up of the left knee. She has no problems and is fully functional. She is...
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    Knee arthroscopy

    Arthroscopy knee Thank you for your response. I actually didn't think I could do 29876, and know that I don't bill chondroplasties with the meniscectomies. Just like to check myself every now and then. Maybe one of these days we will be able to bill the chondroplasties [29877] with the...
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    Knee arthroscopy

    Operation performed arthroscopy right knee, joint debridement with synovectomy, partial medial menisectomy, chondroplasty patellofemoral joint, medial and lateral. Partial lateral menisectomy performed also. Question on procedure coding according to operative note, suprapatella pouch, medial...
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    97760 orthotic training

    We have in our orthopedic office, a company that provides our braces and also does the fitting at the time of the visit, i.e. knee braces, wrist splints, post op shoes, etc. My doctor wants to me to bill 97760 which would represent his time in instruction, training and explanation of orthotic...
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    Revision patellar and tibial components of knee

    Revising patella and tibia components only Would I be correct in using CPT 27487, which is actually revision of femoral and tibia components Or use 27486 x 2
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    ORIF osteochondral patella fragment??

    Osteochondral Fracture and Tibial Tubercle Osteotomy Just came across your reply to this coding issue, and have similar case I need to check coding on and hopefully get your advice. Diagnosis: Dislocation patella with osteochondral injury and Increased Q Angle Procedures planned are ORIF...
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    Open subscapularis tendon and rotator cuff repair

    So if I cannot bill the 29823, I can't bill the 29826. I should bill the 29822, which would cover the debridement and the decompression, is that correct? Shoulders and ankles are the hardest to bill, I think.
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    Open subscapularis tendon and rotator cuff repair

    Thank you for taking time to reply. I am familiar with coding mini-open procedure, just wasn't sure about the subscapularis, since the doctors seem to be dictating that as a separate procedure here lately.
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    Open subscapularis tendon and rotator cuff repair

    Not sure if I am coding these procedures correctly Operation Performed: Arthroscopy, Labral Debridement, Subacromial Decompression with Open Repair of Subscapularis Tendon, Biceps Tenodesis, and rotator cuff repair, right shoulder Post operative diagnosis: Full Tear of subscapularis tendon...
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    Shoulde Surgery Multiple Procedures

    Shoulder Procedures Thank you
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    Shoulde Surgery Multiple Procedures

    Shouler Procedures Thank you
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    Shoulde Surgery Multiple Procedures

    Would like an opinion of the coding on this shoulder surgery OPERATION PERFORED: Arthroscopy left shoulder, joint debridement, labral debridement, acromioplasty, and proximal biceps tenodesis PREOPERATIE DX; Biceps labral dysfunction, rotator cuff dysfunction, impingement shoulder POSTOP DIX...
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    Wiki Prp injection with injection 20611

    Prp injections Our office bills the patient for the PRP kit. As far as we know the PRP [0232T] is still not an approved service? Can we bill the insurance for the injection [20610] or just an office visit? Thank you CW
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    CPT 26160 pr 26111 Mass Finger

    Title of procedure: Incision and drainage of mass, flexor surface, distal portion of right index finger Portion of op note: Patient had mass at flexor surface distal to distal crease. L-shaped incision made with apex at flexor crease on radial side of finger, flexor crease upside. Dissection...
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    Biceps Tenodesis and rotator cuff tear

    Patient had high-grade tear in labrum biceps with a 1.2 cm tear rotator cuff and impingement High lighting portions of operative note that I have questions on coding "Through and through tear of rotator cuff, 1.2 cm. Bursectomy, CA ligament resection and acromioplasty done. Bed of bone...
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    Superior Capsular Reconstruction

    Massive Chrinic rotator Cuff Tear Title of Procedure Arthroscopy, Biceps Tenotomy, Decompression, Superior Capsular Reconstruction [graft was used] , Repair of Subscapularis Tear, Repair Infraspinatus Tear Without entering description of procedure, would like to know if I am looking at...
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    Othovisc Injections for Shoulder

    The doctor wants to start giving Orthovisc injections to shoulder patient on same day as surgery at Hospital. Can these injections be given at the Hospital. They have always been done in the office. We buy and bill the Orthovisc and of course charge for the injection [20610], which I imagine I...
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    Observation Status

    My doctor saw a patient at the Hospital who was admitted for Observation. And as a result, Surgery was performed same date, with Hospital still having patient in Observation Patient has Medicare A only. Can the visit be coded as an outpatient visit [99203-57] Confused as to how to code this...
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    Debridement of lateral retinaculum knee

    Procedures Performed [preop diagnosis was lateral retinacular tear] and scheduled for repair PRP Injection left knee Arthroscopy partial meniscectomy 29881 Debridement lateral retinaculum Need help coding the debridement of the lateral retinaculum. Will highlight that portion of operative...
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    MDM for Fracture care follow up

    thank you true blue
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    MDM for Fracture care follow up

    Our office generally bills for office visits rather than a one-time global fee for closed fracture treatment. Table of Risk lists closed treatment of a fracture as a moderate decision management option My question is for all follow up visits for which we charge these fracture patients, is the...
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    Greater tuberosity drilling procedure

    Need some coding advice on this surgery Dx: Partial Rotator Cuff Tear, Left Shoulder Adhesive Capsulitis Procedures Performed Arthroscopy, Capsular Release Decompression Drilling Greater Tuberosity These are the codes I have selected for the first 2 procedures CPT...
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    Elbow and wrist surgery

    Need to see if I was correct in billing these procedures together Dx: Lateral epicondylitis with common extensor tendon tear Carpal Tunnel Cubital Tunnel Submitted CPT 24341 for repair of tendon, elbow 64718 Ulnar nerve release at elbow...
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    ACL Repair, with Medial Meniscal Repair, and Lateral Menisectomy

    For this knee surgery, I billed 29888 for the ACL repair 29882 for the Medial Meniscal Repair 29881 for the Lateral Menisectomy The insurance company has paid the 29888 and 29881, but denies the 29882 [meniscal repair] I need to Appeal the denial of the 29882 for the repair of the meniscus...
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    Elbow Surgery

    Patient had Decompression of Ulnar Nerve, billed CPT 64718 for nerve decompression Also had Olecranon Bursitis, Billed 24105 for Excision of the Olecranon Bursa Medicare has denied the 64718 as inclusive to 24105 Do I have an appeal for payment on 64718? Thank you, CW :confused:
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    Osteochondritis Dessicans Surgery

    Checking on CPT code for this procedure Scope, Open Reduction, Internal Fixation OCD left knee DX: Osteochondritis Dessicans left distal femur Had this procedure been done arthroscopically, I would have used CPT 29887 [drilling osteochondritis dissecans with internal fixation Procedure was...
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    Four part fracture humeral head

    Procedure: Shoulder Hemiarthroplasty Should I code CPT 23470 or CPT 23616 Briefly, Humeral Head was placed in. Operative note also states "Repair of lesser tuberosity and greater tuberosity to the prosthesis itself, done with Ethibond through eyelets in the back, and then tuberosities...
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    Arthroscopic and Mini Open Rotator Cuff

    Work Compensation Denied by charges for Arthroscopic procedures performed with mini-open rotator cuff repair [23412] Submitted 29822 for Biceps Tenotomy and Labral Debridement [High grade biceps tear/fraying and labrum fraying Submitted 29826 for Subacromial Decompression and Resection...
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    99212 or 99213

    Would like someone to audit the E/M for this visit SYBJECTIVE CC: MRI Results HPI: Orthopedics: Patient comes in for follow-up of right shoulder. This has been going on for a long time. He has trouble with daily activities and at night. It hurts to reach up and out, and to reach behind him...
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    Orthopaedic Diagnosis Coding Only

    Orthopedic Diagnosis Coding And thank you also.
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    Orthopaedic Diagnosis Coding Only

    Orthopedic Diagnosis Coding Thank you. My thoughts exactly.
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    Excision Neurofibromatosis masses , wrist and fingers

    neurofibromatosis masses I appreciate your response. Thank you
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    Orthopaedic Diagnosis Coding Only

    If a patient has a medical condition that would alter or affect the Orthopedic Doctor's plan of treatment, should the diagnosis for the other medical condition [for example, heart disease], be included on the claim submission. Aetna denied one of my claims where I had included a "cardiac...
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    Excision Neurofibromatosis masses , wrist and fingers

    Would like help coding this procedure Dx: Neurofibromatosis masses, wrist and fingers Procedure: Patient had 3 masses, one in dorsum of left wrist, dorsum of middle finger proximal phalanx, one in ulnar aspect middle finger [middle phalanx]. Small incision made over each mass that was...
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    Trapeziectomy of wrist

    WOULD LIKE ANOTHER OPINION ON THE CODING OF THIS PROCEDURE. WILL PROVIDE DESCRIPTION OF PROCEDURE ONLY. DX: Carpometacarpal arthritis left thumb Procedure: Trapeziectomy left wrist Incision made, centered over first dorsal compartment. Dissection carried down until dorsal compartment...
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    Telephone Call Workers Comp Patient

    Concerning a Department of Labor workers compensation claim, and a call to the patient by the doctor Can this phone call be billed to the workers compensation insurance? Waiting to hear, CW
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    Shoulder Surgery Coding

    Would like to see what codes someone else would use on this surgery. Operative note is lengthy, so will try to shorten, but report as much as possible. DX : Slap lesion of superior labrum with high grade partial tear of rotator cuff and impingement Procedures Performed: Arthroscopy of right...