orthopeadic

  1. K

    Wiki Global, office visit, and material (Q4050/ A4590)

    I run around in circles all day and my brain has meltdowns. I figure if I ask questions in here and get replies, I can reference back later for when I have another one. 1. When coding for waterproofing casts, I see some of my providers coding A4590 and others Q4050. There is a pricing...
  2. D

    Question Pilon vs Trimalleolar Fx

    Good morning! I need some help in deciding if this is a Pilon Fx-27828- and ankle dislocation with IF-27848- (per what the doctor is requesting) or if this should be coded as a trimalleolar ORIF. I've gone back and forth with this any help or advice will be appreciate....below is the OP note...
  3. S

    Wiki Wrist Surgery - Subsheath Tissue Repair/Stabilization with Fascial Flap

    Hey my fellow coders! I am needing your help! I'm thinking the CPT is 25275 but it seems the provider did more work then just a tendon sheath repair. Would this be a reconstruction, 25320? Preop Dx: Right ulnar wrist pain Postop Dx: 1. right extensor carpi ulnaris longitudinal tendon tear 2...
  4. T

    Wiki Looking for experienced ortho coder for small coding project, $50 - ASAP

    I own my own medical billing company in Sacramento, CA, called OneHealth Practice Management. I am also a member of the Sacarmento AAPC chapter. I currently have a need for an ortho coder to code 2 days worth of a patient record for a legal matter I'm assisting with. The codes I have for the...
  5. T

    Wiki help with modifers for multi injections

    I have a patient that had multi injection on the same day. I need help with what modifiers I would use. 20550-Lt (HAND) 20600-FA (LT THUMB) 20605-LT (LT WRIST) So do I coded 20550-Lt, 20600-FA,51 , 20605-LT,51? When I tried to bill it said I that the code 20600 was included with the other...
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