Month: January 2018

Coding Lower extremity revascularizations: Tibial arteries
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Coding Lower extremity revascularizations: Tibial arteries

January 18, 2018 Question: For an angioplasty or stenting in the tibia vessels how is the tibio-peroneal trunk coded? Answer: The tibio-peroneal trunk is considered part of the peroneal and posterior tibial vessel. It is not included in the anterior tibial. Therefore if angioplasty and stenting was performed in the tibio-peroenal trunk and the anterior...

Removal of Tissue Expander in the Office
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Removal of Tissue Expander in the Office

January 18, 2018 Question: I have a question on tissue expander coding. How would I code for an in office procedure on a tissue expander removal under local anesthesia? The patient had breast cancer and the mastectomy was performed at a different facility. The patient’s tissue expander became exposed so the expander was removed at...

New Endoscopic Sinus Surgery Codes
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New Endoscopic Sinus Surgery Codes

January 18, 2018 Question: I heard there are new endoscopic sinus surgery codes. What’s the scoop? Answer: Yes!  There are a couple new codes this year that bundle an endoscopic total ethmoidectomy with a: frontal sinusotomy – new code 31253 sphenoidotomy without tissue removal – new code 31257 sphenoidotomy with tissue removal – new code...

Assistant Surgeon Payments
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Assistant Surgeon Payments

January 18, 2018 Question: We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back? Answer: We are seeing many payers including Medicare and Medicaid ask for payment recovery when the documentation does not explain what role the assistant...

Splint Application and L-codes
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Splint Application and L-codes

January 18, 2018 Question: We are having a discussion in our office about how to report the application of off-the-shelf braces that are dispensed in our office. The nurses are adding splint application codes to the encounter forms, such as 29125 and 29515, but the coder only wants to report the HCPCS supply code. Which...

Laparoscopic Pyloroplasty Coding
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Laparoscopic Pyloroplasty Coding

January 18, 2018 Question: How is a laparoscopic pyloroplasty reported? Answer: There is no current CPT code laparoscopic pyloroplasty, only an open code. An open code may not be used if a procedure is done laparoscopically. An unlisted code must be used. In this case, use code 43659, unlisted laparoscopic procedure, stomach. *This response is...

Coding RFA of the SI Joint
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Coding RFA of the SI Joint

January 18, 2018 Question: How is radiofrequency ablation (RFA) of the SI Joint performed with a single percutaneous entry site reported? Answer: Per CPT Assistant, an SI joint injection with a single electrode (having 3 contacts) is reported with an unlisted code, 64999. *This response is based on the best information available as of 01/18/18.

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Put Your Best Face (and Breasts and Body) Forward How to Showcase Your Surgical Results with Clinical Photography

Aesthetic Society News – Winter 2018 by Amy Boyer, MBA Every plastic surgeon knows that photography is an essential part of a cosmetic surgery practice. Early in practice you probably created a photo consent form and instructed your staff to get before-and-after surgery photos of every patient. You may have purchased special photo storage software,...

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What is in that alphabet soup? Deciphering coding acronyms to support reimbursement

Articles What is in that alphabet soup? Deciphering Coding Acronyms to Support Reimbursement Sarah Wiskerchen, MBA, CPC Healio Orthopedics • Orthopedics Today January 2018 The physician’s role in the revenue cycle is important for optimizing charge capture in independent and employment settings. Understanding key acronyms related to code sets and reimbursement guidelines is important to...

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Have You Heard the Latest Medical Liability Risk?

Have You Heard the Latest Medical Liability Risk? AAOS Now – January 2018 By: Michael R. Marks, MD, MBA and Daniel R. Schlatterer, DO, MS Court rules that surgeons must personally deliver informed consent On June 20, 2017, the Commonwealth of Pennsylvania Supreme Court handed down a 4–3 decision that has the potential to rock the world...

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