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    Need Help with Skin Graft/Transfer codes

    Greetings all! Would really appreciate some help with skin graft codes. Patient had a right middle finger mass. Our hand surgeon did this procedure and I've got little to no experience coding skin grafting procedures. Here's a snippet of the work done- ...a 2cm X 2cm rhomboid excision of the...
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    Manipulation Under Anesthesia

    Can anybody help me with the diagnosis for MUA S/P TKA? I billed 27570 with dx of T84.82XA and Z96.652 and it was denied twice due to MUA Policy stating not reimburseable for these submitted diagnoses. I've never had this denied with this dx code before. Thanks.
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    Extensor Mechanism Allograft WITH TKA Revision

    Hello, I'm wondering if I can bill for the 'extensor mechanism allograft' work done along with a Single-Stage revision, total knee replacement? The procedure sounds like the doctor just took a graft and had it fit and sewn into the native quadriceps so doesn't sound like a 'reconstruction' type...
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    Billing with modifier 25 AND 57?

    I looked and looked and still can't find an answer- Our doctor saw a patient in the hospital due to patient having cellulitis, leg swelling and a history of gouty arthritis. He did an aspiration on the first day and then the next day he did an arthroscopic irrigation of the knee and ankle. My...
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    2 Providers/2 Consults

    Good morning, So if I have a PA who did an inpatient consult and then one of our physician group MDs did a consult the next day(a second opinion to determine if an AKA was necessary), can I bill for them both and if so, do I need to know anything in particular such as initial consult and then...
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    Medial Imbrication code

    Hello All, Does anybody know what the CPT code for a 'medial imbrication, knee' is? Any direction would be appreciated, thank you.
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    Bilateral fluoroscopy billing

    Hello All, I have a question about billing bilateral C-arm fluoroscopy if anybody has knowledge about getting this paid. The patient had a RT Carpal Tunnel Release, Bilateral first CMC injections and use of fluoroscopy. Postoperative Diagnoses: 354.0, 715.14(bilateral CMC joint) Here is a...
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    Use of Modifier 53

    Can someone explain if Mod 53 would be appropriate in this situation? The patient was ready for surgery. Anesthesia was started however the surgeon determined the patient was at risk(he was concerned about metastatic cancer) and decided to hold off on the surgery. He never even got to make the...
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    Need help with Shoulder Surgery PLEASE

    Ok, I'm starting to pull my hair out. Hopefully somebody can shed light on this. Diagnosis- Rt shoulder displaced 4-part proximal humerus fracture. Surgical Procedure- Rt shoulder hemiarthroplasty AND internal fixation of a displaced greater and lesser tuberosities. Can these two procedures...
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    Modifier 52

    I could use some help with this one please. I want to bill a Revision of Total Knee Arthroplasty but the doctor only exchanged the poly liner. It was during the global period. My question is can I bill this as 27486-52-78? Seems kind of odd to me but I'm hoping somebody can explain as the mod 52...
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    *HELP*Patellofemoral Joint Replacement

    So I've been searching high and low and I cannot decide if this procedure is 27442 only or in conjunction with 27438. NCCI edits wants to bundle them but I thought I read that you could bill together with a 59 modifier with 27442. Can somebody shed some light on this for me please? Thanks so much.
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    Need help with Nonunion hip fracture repair

    Hi All. I hope someone can guide me on this one please. Patient had a hip greater trochanteric fracture and then nonunion. Here is the main part of the op report: The patient was taken to the operating room...time-out was performed and antibiotics given prior to skin incision. We opened up...
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    Primary Repair to Proximal Tibia Avulsion

    Hello All, I would sure appreciate another opinion on this surgery note. Thanks much:o Postoperative Diagnosis: Avulsion of patellar tendon, left total knee replacement. Procedures Performed: 1. Revision of left total knee replacement with polyethylene exchange...
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    Rotator Cuff Trephination

    Hi All. So my ortho doc performed a typical arthroscopic procedure including a "shoulder rotator cuff trephination". Can someone please tell me if this should be billed out Unlisted procedure? If so, what CPT code would I compare it to for reimbursement? Or would it be a repair code with a...
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    Revision of Medial Malleolar Fracture CPT

    Hello. I'm kind of new to Ortho coding and really hoping someone can lead me in the right direction on this one. Patient had ORIF of malleolar fracture. There was a malunion of fracture and doctor needed to go back to do a revision. Here is a brief description of what was done: Open Reduction...
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    Placement of intraarticular Hickman catheter

    Good morning. I'm hoping somebody can lead me to the correct code for this procedure. The physician did an "open irrigation and debridement of total hip replacement"(for chronic infections). He also did the placement of antibiotic-laden cement spacer and the Placement of intra-articular Hickman...
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