Results 1 to 3 of 3

(POD) Professional Vs. Facility

  1. #1
    Default (POD) Professional Vs. Facility
    Medical Coding Books
    Help! I have a discrepancy between the podiatry physician & the ASC coding. Can you please review this note & give me your suggestions?

    Provider coding: 27640-LT, 28120-51/LT, 29898-51/LT, 76000-59/26
    Facility coding: 29898-LT

    1. Ostectomy anterior tibial plafond left
    2. Ankle arthroscopy with extensive debridement left
    3. Ostectomy to dorsal talar neck left
    4. Fluoroscopic assistance

    Implant(s): None

    Hemostasis: Thigh tourniquet @ 300 mm Hg for 40 minutes

    Estimated blood loss: Less than 50 ml.

    Operative Findings: Large impinging osteophytes anterior tibial plafond medial
    malleolus, dorsal and medial talar neck. Full thickness cartilage erosion dorsal
    talar surface. Lateral Bassets lesion. Extensive fibrosis medial and lateral

    The patient was brought to the operating room placed on the operating table in a supine position. General anesthesia was administered. A surgical time out was performed by the staff identifying the appropriate side in site. The left lower extremity was prepped and draped the sterile manner technique.

    Standard medial and lateral ports were fashioned the ankle joint. The arthroscope was introduced into the joint. Extensive fibrosis was encountered in the medial lateral and care portion of the ankle joint which was debrided with a full radius resector. There was a lateral Bassets lesion impinging of the lateral short of the talus which was resected using combination of basket punches and full radius resector.

    The anterior osteophytes were then removed with a combination of osteotomes and rotary burr. Once the osteophytes are removed there is noted to be significant chondral trough in over the dorsal talar surface secondary to the osteophytes. No osteochondral defects or flaps were encountered. Once the anterior ankle joint was decompressed both soft tissue pathology and osteophytes intraoperative fluoroscopy was used to verify removal of the anterior spurring.

    The cuff was deflated hemostasis verified and both portals were closed simple nylon suture.

    A well padded sterile bandage was applied.
    Heather Stefani, CPC

  2. #2
    Under Code 29898 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive -- AAOS states included is articular shaving, chondroplasty and debridement so this might be your code -- Included: "12. articular shaving, debridement, and/or chondroplasty, limited (eg,29897); 13. removal of osteophytes; 14. manipulation under anesthesia (eg, 27860)" and Excluded: "arthroscopic removal of loose or foreign bodies greater than 5 mm or through a separate incision (eg, 29894); 4. arthroscopic synovectomy (eg, 29895)"

    copied from code correct

  3. #3
    Awesome! Thank you so much. That was extremely helpful.
    Heather Stefani, CPC

Similar Threads

  1. t-PA Administration Facility & Professional
    By Pvdcoder in forum Outpatient Facilities
    Replies: 0
    Last Post: 12-02-2015, 09:14 AM
  2. Facility vs Professional Coding
    By bugsy4cpc in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-13-2013, 11:52 AM
  3. ABN's facility and professional
    By LLynn29 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-13-2012, 07:44 PM
  4. The difference between professional and facility servies?
    By coder21 in forum Emergency Department
    Replies: 1
    Last Post: 04-27-2009, 04:19 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?


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.