ortho

  1. K

    Intrinsic release of the index middle ring and small finger/opponens pollicis release

    I am not 100% sure on how I should code this, but I am thinking 26593x4 and 26440 for the opponens release. Any advice is appreciated! POSTOPERATIVE DIAGNOSIS(ES): Volkman's contracture of the left hand PROCEDURE: Intrinsic release of the index middle ring and small finger and release of the...
  2. D

    Question 28470 not preformed

    Provider billed 28470x2 diagnosis: M84.374A After appealing with chart notes, UHC says that the chart notes do not support that the 28470 was preformed. Dispensal of pneumatic cam walker was documented and diagnostics were preformed to accurately diagnose the fracture. All of this information...
  3. E

    Defining radical in 26145

    Hello, I am looking for help in defining what constitutes a Radical Tenosynovectomy and when to use 26145. Does the surgeon need documentation of pathological tenosynovium for code 26145? Thank a You in advanced, Eva Wade CPC-A
  4. E

    Question 64718 with 24305?

    Good afternoon, Based on NCCI edits, code 64718 (column 2) is bundled into 24305 (column 1), however the RVU for code 64718 is higher than that of 24305. Is there ever a scenario where both codes are billed for the same arm but 64718 is reimbursed over 24305? Thank you, Eva Wade, CPC-A
  5. H

    Question Orthopedic After Hours Clinic

    Our office is in the process of opening an after hours orthopedic only clinic. I was wondering if anyone else has any experience with this? I have several questions regarding billing and coding, as our office will be staffed by APP's and not surgeons. If anyone has any knowledge please let me...
  6. H

    Orthopedic Walk-in Clinic (Not urgent care)

    Our practice is opening a after hours clinic 2 days a week to service non urgent care orthopedic issues. I have a question concerning billing new vs established. In our other family med walk in clinics they bill all patients that have been seen with in our health system as established when...
  7. S

    Hand infection debridement

    Does anyone know what the appropriate CPT code would be for an irrigation and debridement of deep palmar infection of the hand? OP report says: "First, I slowly cleaned the hand of chronic purulence that was stuck into the palm. Despite a preoperative scrub and sterilization, there was still...
  8. T

    Billing CPT application of off-the-shelf splint.

    Does anyone have the literature on why the Emergency department physician can not bill CPT codes in the 29xxx series if the splint is off-the-shelf or pre-fabricated?
  9. S

    Coding Acute Osteomyelitis M86.--- with M84.8--Other disorders of continuity of bone

    I am looking for feedback regarding coding acute osteomyelitis M86.--- with M84.8-- other disorders of continuity of bone to fully describe the patient's condition. Can these two codes be used together? I could not find any "excludes" note with M84.8--. M86 does have excludes notes but not for...
  10. T

    COSC Needed for Physician Office Orthopedic Coding

    Immediate, experienced COSC needed to perform orthopedic audits of office and surgical procedures as well as E&M visits for busy ortho practice. Must have current in depth knowledge of orthopedic surgical coding and compliance rules for billing. Knowledge of physical therapy and x-ray coding a...
  11. T

    COSC Needed for Onsite Physician Ortho Coding Audit in the Syracuse NY area.

    Looking for an immediate, experienced COSC that lives near the Syracuse, NY area to perform on site orthopedic audits of office and surgical procedures as well as E&M visits. Must have current in depth knowledge of orthopedic surgical coding and compliance rules for billing. Knowledge of...
  12. G

    I need some help please???

    I need to know if I can bill for 63075-50, 63076-50, 63076-50 & 22554-22, 22585-22, without a problem? I am having a problem with it because the 22554 actually includes a minimal discectomy, however, since this particular patient required quite a bit more than what I would think would be...
Top