ortho help

  1. J

    Wiki Partial rotator cuff tear with dermal collagen graft application

    Hi-- If anyone has any insight with Dermal collagen grafting for rotator cuff. The provider states--"Given the appearance of the rotator cuff decision was made not to perform a takedown and repair. Decision was made to proceed with dermal collagen grafting of the bursal side of the rotator cuff...
    • jhaleycoder
    • Thread
    • dermal ortho ortho help rotator cuff shoulder arthroscopy shoulder coding shoulder scope
    • Replies: 3
    • Forum: Orthopaedics
  2. J

    Wiki Hand Surgery Help-- Finger/ Hand Tenolysis surgery

    Hi-- If anyone could please help me. Aetna has denied the surgery as Operative Report does not support. All CPT codes have been denied. The operative report below was sent to Aetna. I am not sure if I am missing something. The CPT codes billed are 25295/59, LT (2 units), 26445/51,F1, and...
    • jhaleycoder
    • Thread
    • hand coding hand specialist hand surgery ortho help orthopedic orthopedic coding orthopedic surgery
    • Replies: 2
    • Forum: Orthopaedics
  3. J

    Wiki EPL tendon extra-retinacular transposition wrist surgery Coding help

    Hi- Can anyone help me with coding this surgery. I am leaning towards CPT 25310, 25270 The patient identification, operative site, and operative procedure were verified with the patient preoperatively in the holding area and again at the safety pause in the operating room. The patient was...
    • jhaleycoder
    • Thread
    • hand coding hand specialist hand surgery ortho help orthopedic question orthopedic surgery
    • Replies: 4
    • Forum: Orthopaedics
  4. J

    Wiki Carpal Tunnel Release w/Partial Flexor Synovectomy

    Hi all, I have been struggling with this procedure since I started ortho last year. My issue is that this particular provider wants me to bill 64721 and 25118. Although they have no CCI edits I received a couple back being denied from the previous coder. Can someone possibly read this report...
    • Jazmina10
    • Thread
    • carpal tunnel release ortho help orthopaedic partial synovectomy synovectomy
    • Replies: 5
    • Forum: Orthopaedics
  5. L

    Wiki Arthroscopic Synovectomy question

    I am brand new to ortho (filling in while someone is on FMLA), so I am trying to get some confirmation on this.. I have a provider that performed a proximal row arthroscopy with synovectomy & a medial carpal row arthroscopy with synovectomy.. Op note states "There was significant synovitis in...
    • Lauren423
    • Thread
    • 29844 29845 arthroscopic mue ortho ortho help synovectomy wrist
    • Replies: 3
    • Forum: Orthopaedics
  6. J

    Wiki UHC denial Reverse total shoulder

    Hi Everyone-- I coded the OP note below as 23472 and 23405. UHC is stating that the CPT codes billed are incorrect. I feel like I am going crazy with UHC. Am I missing something? If someone could quickly review. We have have appealed twice. Procedure: 1. Right reverse total shoulder...
    • jhaleycoder
    • Thread
    • denials uhc optum ortho help orthopedic coding shoulder arthroplasty shoulder coding
    • Replies: 4
    • Forum: Orthopaedics
  7. J

    Wiki Hand Surgery Coding Help

    Coding help! Hands surgery. UHC has denied the CPT codes billed as not documented? I am lost? The codes billed are 26445, 64772, 25295. If someone could please give me second opinion. The operative report is below: Postoperative Diagnosis Left wrist retained hardware (volar plate and dorsal...
    • jhaleycoder
    • Thread
    • denial hand coding hand specialist hand surgery ortho help orthopedic orthopedic surgery
    • Replies: 3
    • Forum: Orthopaedics
  8. C

    Wiki Any help would be appreciated

    I am struggling with this note. I have 23466 and 23450, but I am not sure if it's correct or not. Thoughts?? PREOPERATIVE DIAGNOSIS: Right shoulder instability with large Hill-Sachs lesion, anterior. POSTOPERATIVE DIAGNOSIS: Right shoulder instability with large Hill-Sachs lesion, anterior...
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