joint

  1. M

    Wiki Excision of Osteophyte from DIP 26080 vs 26236 vs 26210

    Hello, I would greatly appreciate another coder's opinion on how they would code the following op report? A longitudonal incision was made from the nail fold proximally in the midlateral line after elevating the upper nail fold from the nail plate with a freer elevator. A full thickness skin...
    • MI_CODER
    • Thread
    • hand coding interphalangeal joint orthopedic coding
    • Replies: 3
    • Forum: Orthopaedics
  2. C

    Wiki Interphalangeal Arthroplasty?

    Hi All, I'm stuck. One of our docs is adamant that his operative report documents something that none of our coders can find. His heading states "DeVries arthroplasty, right second, third, and fourth proximal interphalangeal joints" (bolded below) We could not find it to be documented in the...
  3. B

    Wiki Orthopedic operative report

    new to Ortho Surgery. Need help coding hte following 1-caudal epidural steroid injection 2-lumbar sine epidurogram 3- facet joint arthrogram right L4-L5 and L5-S1 4- facet joint injection right L4-L5 and L5-S1 5-injection for Myelogram dye for interpretation 6-needle localization under...
  4. B

    Wiki orthopedic surgery

    I have a new client who still thinks we can use pre 2015 cpt codes. I have explained that a lot of the codes have been bundled and he wants to unbundle them anyway. Could you help in coding the procedures below? 1-caudal epidural steroid injection 2-lumbar sine epidurogram 3-left sacroiliac...
  5. R

    Wiki Sacroiliac joint injection WITH ULTRASOUND GUIDANCE

    How would you post a sacroiliac joint injection WITH ULTRASOUND GUIDANCE. This was a joint injection using ultrasound guidance, and is documented. Our physician does ultrasound guided injections in an office setting. Comments would be greatly appreciated.
    • rlewis3504
    • Thread
    • guidance injection joint sacroiliac ultrasound
    • Replies: 8
    • Forum: Orthopaedics
  6. P

    Wiki facility billing for SI joint with ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  7. P

    Wiki SI joint injection using ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  8. P

    Wiki outpatient hospital code for SI joint using ultrasound

    Can anyone tell me if we are to use G0260 if the SI joint injection is using ultrasound for outpatient facilities and ASC? I understand physicians use 20611 but I can not find anything about the hospitals and ASC's.
  9. V

    Wiki Help with hammertoe surgery

    I have been asked to help with a surgical denial that a co-worker coded. She is on vacation and I need help before she returns. My co- worker coded as follows 28285 T1- Correction Hammertoe interphalangeal fusion 28285 XS T2 28285 XS T3 28285 XS T4 28270 XU T1- Capsulotomy...
    • VoitChromy
    • Thread
    • joint metatarsophalangeal performed proximal toe
    • Replies: 2
    • Forum: Podiatry
  10. M

    Wiki help with surgery please

    PREOPERATIVE DIAGNOSES: 1. Right severe flatfoot deformity 2. Right PTTD 3. Right Hallux valgus 4. Hallux elevatus POSTOPERATIVE DIAGNOSES: Same PROCEDURE: 1. Right triple arthrodesis 28715 2. Right 1st Tarsal-metatarsal joint arthrodesis 28740 3. Right medial calcaneal...
    • MELJNBBRB
    • Thread
    • identified incision joint screws tissue
    • Replies: 4
    • Forum: Podiatry
  11. L

    Wiki PLEASE HELP with Radiofrequency denials

    I work for a pain clinic and my doctors perform radiofrequncy injections. I believe we are billing them correctly 64635x1 and 64636x2 when three nerves are injected. However we have ran into issues with an insurance that is denying the additional unit and stating we can only do two (64635x1 and...
  12. J

    Wiki SI joint fusion

    I'm looking for a diagnosis code for Osteoarthritis SI joint. I cant find any reference to SI joint anywhere. I'm leaning towards M47.818. Also, I am having a hard time getting pre-authorization for a perc SI joint fusion. Wondering if anyone has any tips. All suggestions are appreciated.
    • Jdevoid
    • Thread
    • fusion joint osteoarthritis si joint perc si joint fusion
    • Replies: 0
    • Forum: Orthopaedics
  13. A

    Wiki New Ortho Surgeon doing extensive hand surgeries in ASC. Need help!

    Looking for Hand Surgery Coding Resources for extensive hand and finger procedures. Would like to see what CPT codes others come up with for the procedures below. My codes CPT codes 26850, 25447 and 20926 for sure, I also looked at adding 25312 but it doesn’t feel right. Reviewed with our team...
    • Amber1221
    • Thread
    • apl dorsal joint metacarpophalangeal thumb
    • Replies: 2
    • Forum: Orthopaedics
  14. J

    Wiki Am I giving this OP Note too much thought?!?! Help please! :)

    PREOPERATIVE DIAGNOSIS: Rotator cuff tear, right shoulder. POSTOPERATIVE DIAGNOSES: 1. Severe degenerative arthritis glenohumeral joint, right shoulder involving the humeral head and the glenoid. Photographs were taken. 2. Partial tear rotator cuff, less than 50%. No evidence of severe...
  15. A

    Wiki Guillotine Amputation

    I have a physician who is doing a partial amputation of the great toe that he calls a guillotine amputation. He documents that the bone is osteotomized just distal to the interphalangeal joint. What CPT code would you use? Thanks, Alicia, CPC
    • aschaeve
    • Thread
    • amputation cpt guillotine interphalangeal joint
    • Replies: 1
    • Forum: Podiatry
  16. M

    Wiki Stumped for a icd 10 dx code for SI Joint OA--------suggestions needed

    Hello, Any suggestions on what the most appropriate code for SI joint OA? Thank you in advance and have a wonderful day! Micki
  17. C

    Wiki How to code SI joint injections with ultrasound done in the office?

    My providers do SI joint injections in the office, and I know that CPT states to use 20552 which is presumed that the injections are being done into tissue and not into the actual joint. My providers are using ultrasound to visualize the actual sacroiliac joint and injecting into the joint...
    • chellie33
    • Thread
    • actual injections joint providers ultrasound
    • Replies: 3
    • Forum: Anesthesia
  18. S

    Wiki Code injury or osteoarthritis first?

    This scenario has been a subject of contention, albeit friendly, in our office. When a patient comes to hospital with the following: HISORY: MVA, injury, pain PROCEDURE: Left knee x-ray, 3 views DESCRIPTION: Adult male presents to ER with pain in left knee following MVA. Bone processes...
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