Desperate Denise
Guest
- Messages
- 146
- Best answers
- 0
This will be final shoulder thing with this audit - sorry to trouble everyone - I just don't know where to turn at this point.
Patient has a history of a distal clavicle excision several years ago. She has had continued pain in the region. Doctor diagnosed the patient with clavicle AC joint arthritis, subacromial spur, cystic changes greater tuberosity and of course my favorite - status post distal clavicle excision. I used ICD.9 codes 733.22 for spur, 715.91 for OA and doc said to code for AC disloc 831.04. Should I have used 718.31 for recurrent?
He reported performing a partial claviculectomy (23120) and open AC dislocation with fascial graft (23552)
I coded it 23552 and 23120-51 - is that the right modifier and is it billable? I checked the CCI audit and there was no contraindication but I want to be sure before defending it.
Thank you so very much ----
Patient has a history of a distal clavicle excision several years ago. She has had continued pain in the region. Doctor diagnosed the patient with clavicle AC joint arthritis, subacromial spur, cystic changes greater tuberosity and of course my favorite - status post distal clavicle excision. I used ICD.9 codes 733.22 for spur, 715.91 for OA and doc said to code for AC disloc 831.04. Should I have used 718.31 for recurrent?
He reported performing a partial claviculectomy (23120) and open AC dislocation with fascial graft (23552)
I coded it 23552 and 23120-51 - is that the right modifier and is it billable? I checked the CCI audit and there was no contraindication but I want to be sure before defending it.
Thank you so very much ----