orthopedic coding

  1. W

    Question Coding Lisfranc Dislocations by Primary Arthrodesis

    Good afternoon, Our practice has recently had several Lisfranc surgeries and I wanted to seek out advice to ensure we were billing them correctly. Any responses to either of my questions for these types of surgeries would be greatly appreciated! One of the recent surgeries involved a Lisfranc...
  2. 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
  3. T

    Question Radical Resection Help

    Hello, I am coding for an orthopedic oncologist that has performed a radical resection of a soft tissue sarcoma located in the right forearm that I am needing some advice on. The surgeon resected the sarcoma as well as part of the ulna that was underneath the sarcoma. My first thought was to...
  4. T

    Question Radical Resection Help

    Hello, I am coding for an orthopedic oncologist that has performed a radical resection of a soft tissue sarcoma located in the right forearm that I am needing some advice on. The surgeon resected the sarcoma as well as part of the ulna that was underneath the sarcoma. My first thought was to...
  5. L

    Use of CPT 15777

    CPT 15777: Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) Within the notes for this code it states when using a biological implant for soft tissue reinforcement in areas...
  6. S

    Wiki Lower Back Pain Code

    I encounter this interesting DX yesterday & I want to get your opinion on it: LBP [lower back pain] c̅ L3-L4 levoscoliosis, c̅ (R) radiculopathy + retro/anterolisthesis How would you code it? And why those codes?
  7. S

    excision of palmaris profundus tendon...help!

    Hi, I am hoping someone can help me with my coding dilemma...during a typical Carpal Tunnel release the surgeon noted that there was an accessory tendon draped over the median nerve and defined it as a the palmaris profundus tendon. He excised this tendon. I am hoping someone can help me...
  8. M

    Loose bodies not in Knee Joint

    I hope someone will be able to help me. Lately surgeon's are documenting: "There were diffuse grade 2/3 articular cartilage changes from the medial femoral condyle. There was a radial tear involving the posterior horn and the medial meniscus near the root attachment along the medial aspect of...
  9. S

    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...
  10. K

    Distal Bicep Tendinitis coding

    I am new to orthopedic coding, still learning. Can anyone help? Pt has LT Distal bicep tendinitis but I only see an ICD-10-CM code for Proximal bicep tendinitis (M75.22--Bicipital tendinitis, left shoulder) After searching I found a site that suggests using M70.32 (Other bursitis of elbow, left...
  11. A

    What is Correct CPT for Laminectomy with Foraminotomy

    Hello! When a Laminectomy is performed with Foraminotomy (NO Facetectomy is done) I am having a difficult time determining the correct CPT code. CPT 63047 implies that all 3 Laminectomy, Foraminotomy AND Facetectomy must all be performed in order to capture so I don't feel I can use this CPT...
  12. J

    Shoulder Coding Question

    I am confused as to if/how to code for a open RC Repair when the Surgeon attempted to repair the Rotator Cuff but after attempting it was found to be irreparable. Any information would be extremely helpful and graciously accepted. Thank you!
  13. T

    Experienced Orthopedic Coder/Auditor for Full Time Remote Position

    I have over 20 years of orthopedic coding experience and am currently seeking a full time remote position. I am experienced in Trauma,multi-trauma procedures, modifiers, Foot/ankle procedures, Arthroscopies, Hand procedures, medical necessity denials, unlisted procedures (subchondroplasties)...
  14. 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...
  15. M

    Orthopedics

    Hel with Orthopedic Surgery Coding Request 1. Right hand crush 2. Extensor pollicis longus tear 3. Extensor digitorum tear to the ring and small fingers 4. Extensor carpi ulnaris tear 5. Comminuted distal ulnar fracture 6. Distal radial ulnar joint disruption and dislocation 7. Perilunate...
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