DLChapman
New
Hi! I would appreciate any degree of advice here, thank you! 
The dos is 12/10/24. This patient is in global until 3/3/25. The provider documents "A new below the knee fiberglass splint dressing was applied today in clinic", so I thought of a fiberglass cast. He also applied a multilayer compression dressing to the same leg/site. Both of these were over the surgical site.
For this visit, I captured:
99024-25
29425-58, LT
29581-79, XU, LT
Then....another podiatrist saw this patient on 12/16/24. He documents that the walking boot was rubbing her incisions so he applied "a below-the-knee cast". I had in my head that the patient had just had a cast applied a few days prior so checked with the providers. That's when the 1st provider states he had applied a "fiberglass splint dressing" and that the patient must have removed it and applied her boot. The 2nd provider states the patient arrived in a boot and he did place a cast. I haven't coded the 2nd visit yet.
Did I interpret the "new" and "fiberglass" for the splint dressing incorrectly? Even a foot/ankle strapping is 29425 (per a seminar by a podiatrist). The billing department has billed this out already. Should I wait and see what happens or does it require changing? I don't want to do something wrong!
Then I have this second visit only 6 days later that I suppose definitely should have 99024-25, 29425-58, LT.
Am I okay to code the 2nd visit using 99024-25 and 29425-58, LT also?
The dos is 12/10/24. This patient is in global until 3/3/25. The provider documents "A new below the knee fiberglass splint dressing was applied today in clinic", so I thought of a fiberglass cast. He also applied a multilayer compression dressing to the same leg/site. Both of these were over the surgical site.
For this visit, I captured:
99024-25
29425-58, LT
29581-79, XU, LT
Then....another podiatrist saw this patient on 12/16/24. He documents that the walking boot was rubbing her incisions so he applied "a below-the-knee cast". I had in my head that the patient had just had a cast applied a few days prior so checked with the providers. That's when the 1st provider states he had applied a "fiberglass splint dressing" and that the patient must have removed it and applied her boot. The 2nd provider states the patient arrived in a boot and he did place a cast. I haven't coded the 2nd visit yet.
Did I interpret the "new" and "fiberglass" for the splint dressing incorrectly? Even a foot/ankle strapping is 29425 (per a seminar by a podiatrist). The billing department has billed this out already. Should I wait and see what happens or does it require changing? I don't want to do something wrong!
Then I have this second visit only 6 days later that I suppose definitely should have 99024-25, 29425-58, LT.
Am I okay to code the 2nd visit using 99024-25 and 29425-58, LT also?
