Month: May 2018

Confused about CPT Code 26600
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Confused about CPT Code 26600

May 31, 2018 Question: I am confused on how to report the closed treatment of multiple metacarpal fractures (26600) that are not displaced and treated with the application of a fiberglass short arm cast.    We are receiving denials when reporting the code for each fracture. Answer: The official definition of CPT code 26600 (Closed treatment...

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Billing Renal Angiograms

May 31, 2018 Question: The doctor documented a renal angiogram, and an aortogram. The aortogram was denied. What should we do? Answer: The denial was correct.  Per CPT, an aortogram is included in a renal angiogram and should not be separately reported. See the code description below. 36251   Selective catheter placement (first-order), main renal artery...

Coding for Multiple Joint Injections
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Coding for Multiple Joint Injections

May 31, 2018 Question: What CPT codes do I use to perform a right SI joint injection and then inject 4 spots along the left trapezius?  I use Fluoroscopy for guidance for the SI joint injection, but not for the trigger point. Answer: Use CPT code 27096-RT (Injection procedure for sacroiliac joint, anesthetic/steroid, with image...

Eustachian Tube Dilation
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Eustachian Tube Dilation

May 31, 2018 Question: We want to start doing this new procedure but can’t find a code for it.  What do you suggest? Answer: You’re correct – currently there is not a specific CPT code for the procedure.  Therefore, you’ll need to use an unlisted code such as 69799, Unlisted procedure of the middle ear....

ICD-10-CM Code for DBS Battery/Generator Replacement
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ICD-10-CM Code for DBS Battery/Generator Replacement

May 31, 2018 Question: We are using the diagnosis code of T85.190 (Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), initial encounter) for the replacement of a deep brain stimulator generator (2 leads, 61886) because the battery died. This code requires a 7th digit and we are struggling with the difference between...

Bilateral Modifier: Use or Not use?
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Bilateral Modifier: Use or Not use?

May 31, 2018 Question: If a patient has a biopsy on the right cheek and one on the left forehead, do we need to put modifiers RT and LT on the codes (11100-RT, 11101-LT)? Answer: No.  The skin is part of the integumentary system, actually the largest organ system in the body.  The concept of...

The Essential Guide
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The Essential Guide

Products The Essential Guide to Coding in Otolaryngology Coding, Billing, and Practice Management The FIRST Coding Book BY Otolaryngologists FOR Otolaryngologists! The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management details how to properly and compliantly code for both surgical and nonsurgical services. It is a practical guide for all otolaryngologists in the...

Background Checks
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Background Checks

Products Background Checks From employment and salary history to criminal history, an effective background screening report reveals important information about an applicant’s previous experience and behavior. KZA-recommended global screening company Trusted Employees offers employment screening, criminal records searches, employee drug screening, identity checks, and more. Avoid hiring headaches when you take the time to screen...

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