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  • B
    bryana.ament@outlook.com posted the thread Wiki post op follow up in Diagnosis Coding.
    How do we know what icd10 code to use for a routine post op follow up visit? How do we differentiate between z09, z4889, z48.816? Especially for those who have a hysteroscopy d&c done (58558, 0 day global period) and come into the office 2 weeks...
  • N
    NRaizman replied to the thread Wiki Minimally Invasive Osteotomy.
    You can code the osteotomy code for this, even if it's a bit minimal. 28310, assuming it's the great toe.
  • N
    NRaizman replied to the thread Wiki Percutaneous Bunionectomy.
    No. This is 28306. CPT Assistant 2024 very, very clearly goes over this and confirms that, if you did not resect the medial eminence, then it is not a bunionectomy (hallux valgus correction) and that minimally invasive osteotomies without...
  • N
    notatthebeach@gmail.com posted the thread UHC in Pediatrics.
    I have a speech therapist client of mine that is looking for out-lf-network allowables for 92526 and 92610. She isn't even signed up yet so accessing that info online isn't possible. Does anyone here access to the fee schedule for that? Thanks!!
  • K
    Katelynwilliams1813 posted the thread Wiki CPC Exam in Medical Coding General Discussion.
    Does anyone know the best way to study for the cpc exam besides the books. I am more of a hands on learner so somtimes I read what I need to know and it goes in and out and I can’t remember. I’ve tried videos and the bucks books but its hard to...
  • S
    skeith posted the thread Wiki CPT code for Laparoscopic C-Section scar revision repair in HEALTHCON - National Conference.
    Does anybody know of a code for a Laparoscopic C-Section scar revision repair for a uterine niche? I could only come up with misc Laparoscopic codes 49329 or 58578. This is the first I have billed this type of repair by this approach.
  • jkyles
    jkyles replied to the thread Wiki Telehealth update.
    Hi, the linked document means that you can perform telehealth services as allowed by CMS' telehealth waivers through Jan. 30. For example, the patient can live in an urban area and receive telehealth services at home. On Jan. 31 the geographic...
  • C
    coding@pprm.org reacted to jkyles's post in the thread Wiki RN Counseling Contribution to Physician E&M Coding with Like Like.
    That would depend on whether the physician uses that counseling for their medical decision making for that visit. If the counseling just happens to occur on the same day as an E/M visit it would not.
  • N
    NRaizman replied to the thread Wiki Second opinion-periprosthetic fx.
    No -22 for this. Most supracondylars are bicolumnar and require reduction and fixation of both condyles. You can make an argument that it should be -22 because it's periprosthetic, but the operative report doesn't really describe the additional...
  • jkyles
    jkyles replied to the thread Anesthesia Billing from a patient's POV (Need Help) with some references..
    First: I hope your son is doing well. Second, QX means a CRNA performed the anesthesia under supervision of an anesthesiologist, so if 27705A indicates an an anesthesia service preformed by anesthesiologist, there's a conflict. But yes, you...
  • N
    NRaizman replied to the thread Wiki Fracture Care Help.
    Need to be more specific here. Did the ER bill the fracture care code with a -54 modifier? Who is the payor? Are the ER docs and ortho part of the same system? What fracture are we talking about? What is the ortho's definitive treatment plan...
  • N
    NRaizman replied to the thread Wiki Polyethylene Liner, Ankle.
    That is reasonably a revision of one component. 27703 with a -52 modifier
  • N
    NRaizman replied to the thread Wiki Removal Anterior Cervical Osteophytes C2-C4.
    I think it would be fine to use 22110. There is no CPT or CPT-A guidance that would prohibit it. A corpectomy is removal of the entire vertebral body, or at least a significant majority of it - it is a massive procedure and would require...
  • N
    NRaizman replied to the thread Wiki Arthroscopic wrist coding question.
    I'd consider that all debridement, but there are no firm guidelines. I think it's risky to go 29999 because of risk of denial and subsequent delayed AR and a lot of effort needed. 29846 is all I would do. Arthroscopic SL debridement takes me...
  • jkyles
    jkyles replied to the thread Wiki 2026 Inpatient Only List.
    Scroll down to the OPPS final rule here https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-ambulatory-surgical-center
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