If a patient presents with MRI findings confirming a traumatic right ACL tear (sprain) S83.511A, should we report additional codes to describe the symptoms knee pain, swelling, or difficulty walking?
Month: December 2016
What’s new with the X modifiers established by Medicare? Should we be using them now?
I’m doing the repair of the oral cavity defect with a free flap reconstruction after the head and neck surgeon has resected the cancer. Can I code both 42950 and the free flap code such as 15758?
What diagnosis code do we use when we are reconstructing a defect after the Moh’s surgeon, or someone else removed the cancer? When I try to crosswalk the ICD-9-CM open wound code I used to something in ICD-10-CM, it takes me to an S code which is strange because the open wound is not the result of an injury or trauma.
A colleague informed me that billing an office visit every time I give a patient an injection can lead to an audit. I also read a recent article where an orthopedic practice had to pay back millions of dollars partially for this reason. I typically bill an established patient visit with an injection, but I always add a 25 modifier on the visit. Does that mean I am safe from an audit?
Thank you for the discussion yesterday! You are very insightful and a great educator on a complex topic. I have a question for you regarding treating vasospasm extracranially (not intracranially). Can I also use 61650 for a catheter that causes vasospasm on the way up to coil an aneurysm?
I heard there is a new G code for moderate sedation but I don’t see it in the 2017 CPT manual. Is it not a 2017 code?
I see the new transluminal angioplasty codes include “all radiological supervision and interpretation necessary to perform the angioplasty”. Does that include diagnostic angiograms?
AAOS Now – December 2016 by Michael R. Marks, MD, MBA If a constant stream of denials for hip arthroscopy procedures frustrates you, know that you are not alone. These denials are a common source of angst for physicians. The good news is, if you know how to avoid common coding pitfalls, document correctly, and...
How is an injection of PRP reported?