Results 1 to 5 of 5

Office controversy over appropriate CPT codes?

  1. #1
    Default Office controversy over appropriate CPT codes?
    Medical Coding Books
    Exam: Bilateral standing legs and knees.

    Comparison: None.

    Clinical Data: S/P TKR (TOTAL KNEE REPLACEMENT)

    Findings:
    Bilateral standing legs, single view:
    There is a left longstem constrained knee arthroplasty with surrounding
    cortical lucency,evaluate in detail on the knee examination below. Mild bilateral genu varum
    deformities. There is an unconstrained right total knee arthroplasty with longstem tibial
    component andsurrounding cement with lucency along the osseous-cement interface,
    evaluated in detail on theknee examination below.

    Bilateral knees, 3 views each:
    Left knee: There is a left longstem constrained knee arthroplasty with
    marked lucency a longosseous-prosthesis interface of both longstem components with marked
    thinning of the lateralcortex overlying the tibial longstem component. Small joint effusion.

    Right knee: There is a right unconstrained total knee arthroplasty with
    longstem tibialcomponent and surrounding cement. There is lucency along the osseous-cement
    interface, lateralgreater than medial, measuring up to 1 mm. There is prominent excavation
    along the anteriorfemoral osseous-prosthesis interface. There is evidence of old fracture
    fragment or bone graftat the apex of the longstem component. Small joint effusion.

    Impression:Bilateral standing legs:

    1. Bilateral total knee arthroplasties with evidence of hardware loosening,
    as detailed below.
    2. Mild bilateral genu varum deformities of the knees.

    Bilateral knees:
    1. Left longstem constrained knee arthroplasty with marked evidence of
    loosening of the femoraland tibial longstem components.
    2. Right unconstrained total knee arthroplasty with tibial longstem
    component and evidence ofloosening surrounding the anterior femoral and longstem components.

    Thanks much

    Kimberley Tober, CPC

  2. #2
    Default
    Any thoughts would be greatly appreciated!

    Thanks:-)

    Kimberley Tober, CPC
    Franklin, TN

  3. #3
    Location
    Columbia, MO
    Posts
    12,531
    Default
    what exactly is the controversy over? the appropriate radiology codes or the dx or both? which codes did you use?

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    The controversery is over the correct CPT codes to use.

    I have been using :

    73550-52 x 2
    73590-52 x 2
    73562 x 2

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I am not seeing your logic for those codes given the documentation you provided. If you can explain the reasoning for your choices and the modifiers it will help
    I see
    73565 for the bilateral standing
    73562 50 for the bilateral knees
    where are you getting the documentation to suppport the femur, tibia and fibula? and why the 52 modifier?

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Reimbursement for consult codes vs medicare new office/hospital eval codes
    By cardiocoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2014, 09:09 PM
  2. Need Office Visit CPT codes Reviewed
    By cnramsey in forum Family Practice
    Replies: 1
    Last Post: 08-22-2014, 06:50 PM
  3. Bariatric controversy
    By AHudyma in forum General Surgery
    Replies: 4
    Last Post: 09-06-2013, 10:31 AM
  4. Diagnosis controversy
    By Kimberley in forum Diagnosis Coding
    Replies: 2
    Last Post: 05-06-2009, 11:32 AM

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.