Month: May 2017


Diagnosis Code for Flap Closure

Can you help solve a diagnosis coding controversy we have? Occasionally, we have a patient who had a fracture and the Orthopedic Surgeon does the fracture repair. However, the Plastic Surgeon is asked to provide flap coverage to cover the open surgical wounds. What diagnosis codes should we use? I am thinking we use the fracture diagnosis code but we aren’t treating the fracture. Another coder says we should use an unspecified open wound code. We would appreciate your thoughts.


Intervertebral Device 22853

I code for a neurosurgeon and he insists that I bill the cage code, 22853, for each interspace. However, the CPT book lists as cage(s) therefore our thinking is that no matter how many are placed this code is only allowed one time per surgery. His note states “C3-C4, C4-C5, C5-C6 anterior cervical interbody fusion using PEEK interbody spacers.” So is it 22853 x 1 unit or 22853 x 3 units?


Learn the Latest in Otorhinolaryngology Coding

AAPC News –  March 2017 by Kim Pollock, RN, MBA, CPC, CMDP CPT® 2017 captures the most up-to-date clinical services for ear, nose, and throat specialists. CPT® 2017 brings several code changes for otorhinolaryngology, a specialty that has seen few, if any, code changes in the past several years. The changes are primarily new codes, with some code...


Stay Current with Spine Procedural Coding

AAPC News –  May 2017 by Kim Pollock, RN, MBA, CPC, CMDP See how spine procedure codes, guidelines, and reporting have changed in 2017. There are many 2017 CPT® code changes pertaining to spine procedures. Here’s a rundown of the most significant changes. Removal of Moderate Sedation Inclusion The moderate sedation symbol (¤) was removed from...

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