Results 1 to 6 of 6

Compartment Syndrome 20950?

  1. #1
    Location
    Sacramento
    Posts
    20
    Question Compartment Syndrome 20950?
    Medical Coding Books
    My physician did testing on 4 compartments in the ER. The code descriptor for 20950 says testing for compartment syndrome but does not indicate if you can charge for each compartment. Anyone have a clue.

    Thanks
    Debbie K

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    as long as he is moving the device (needle/catheter) into the different compartments, and of course if the documentation supports each area, then I would say it is safe to code for each compartment.

  3. #3
    Location
    Lewiston, Maine
    Posts
    33
    Default
    Yes you can bill per each location that the compartment pressure measured. Just make sure that it is clearly documented by the provider.
    Catherine Nolin, CPC, CGSC

  4. Default
    Also, be sure not to use a 50 modifier if you perform this on bi-lateral limbs, per Medicare's RVU file. Always use units to indicate the number of compartments tested.

  5. Default Cpc,cosc
    I Don't Know What Could Be More Vague Than This Code Description. It Does Not State Per Compartment, Or Per Session, Only "monitoring."

    My Physician Tested A Patient For Non-traumatic Exertional Compartment Syndrome. He Did A Baseline Measurement Then Sent Her To Pt Next Door To Exercise, Then Measured Again, Rested Her For Several Minutes Then Measured Again. If I'm Supposed To Charge This Code For Each Time Each Compartment Was Measured It Would Be Eleven Units! This Is About 8 Times More Expensive Than The Surgery To Release Two Compartments! Should It Be One Unit For The Entire Session, One Unit For Each Compartment Tested During The Session, Or The Eleven Units As Above? Hope Someone Has Some Specific Official Guidelines On This And Can Tell Me Where To View It.

    Thank You.

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    based on the description of the procedure, it states compartment (single) not compartments (plural) therefore this would be coded per compartment. I've never had any issues with reimbursement.

Similar Threads

  1. Compartment Syndrome Monitoring?
    By cathy56 in forum Orthopaedics
    Replies: 0
    Last Post: 07-20-2015, 11:01 AM
  2. compartment syndrome
    By PLAIDMAN in forum Orthopaedics
    Replies: 0
    Last Post: 06-18-2015, 02:50 PM
  3. Abdominal Compartment Syndrome
    By carol52 in forum Diagnosis Coding
    Replies: 3
    Last Post: 01-10-2013, 04:09 PM
  4. Compartment syndrome
    By gingraja in forum Diagnosis Coding
    Replies: 0
    Last Post: 04-26-2011, 10:03 AM
  5. Fasciotomy Release of the Foot for Compartment Syndrome
    By PatriciaCPC in forum Orthopaedics
    Replies: 0
    Last Post: 02-20-2008, 05:15 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.