a patient had a left talinavicular joint fusion with autologous iliac crest graft in June and it showed good bone healing in July. the patient now shows TN joint nonunion due to walking on her foot. How would I interpret the 7th character because it was healing great until the patient had to walk on it do to lifestyle. So is this Sequela (complication or condition that arises as a direct result of a condition) or is K subsequent fracture with a nonunion?
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Wiki Initial vs Sequela
- Thread starter SSweetland
- Start date
mitchellde
True Blue
If it is documented as a non union then use the 7th character for subsequent with nonunion
Thank you
Revision of Total knee for pain due to total knee replacement
I am having trouble determining if the 7th character should be an A or a S. Patient with history of a right total knee replacement performed in 1988 with poor mechanical outcome who has had increasing right knee pain. She is now scheduled to have a revision of the total knee replacement. Would the ICD-10 code be T84.84XA or T84.84XS with a code from the G89 category? We come across this quite a bit. Thanks
I am having trouble determining if the 7th character should be an A or a S. Patient with history of a right total knee replacement performed in 1988 with poor mechanical outcome who has had increasing right knee pain. She is now scheduled to have a revision of the total knee replacement. Would the ICD-10 code be T84.84XA or T84.84XS with a code from the G89 category? We come across this quite a bit. Thanks
aformato1
New
ICD 10 Sequela
I was just going to post the same question. Any advice?
I was just going to post the same question. Any advice?
mitchellde
True Blue
If this is the initial active treatment for the mechanical complication then use the A.
Daniels
Contributor
Are CPT codes 20610 & 20611 billable and reimbursable together?
Good Afternoon, are you able to bill out 20610 ( Anthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa) without ultrasound guidance,
20611 with ultrasound guidance, with permanent recording and reporting.
I am experiencing difficulty with a particular insurance carrier regarding reimbursement for both codes.
Any help is greatly appreciative!
Regards,
ShaJuanda Rogers CPC
Good Afternoon, are you able to bill out 20610 ( Anthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa) without ultrasound guidance,
20611 with ultrasound guidance, with permanent recording and reporting.
I am experiencing difficulty with a particular insurance carrier regarding reimbursement for both codes.
Any help is greatly appreciative!
Regards,
ShaJuanda Rogers CPC
surfroxy223@yahoo.com
Guest
I think as long as the documentation supports a different incision, session, or site you could bill 20610-59 & 20611 plus the injectable drug.