Month: November 2018

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Take A Bite Out of the No-Show Rate

Orthopaedics today — November 2018 by Karen Zupko, President More than half of the orthopedic practices that responded to the KarenZupko & Associates Inc. 2018 American Academy of Orthopaedic Surgeons coding and reimbursement workshop pre-course survey (54%) said that no-shows are a “problem” in their offices. That is up from 38% in 2017 and 43%...

Cervico-cerebral Imaging Codes
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Cervico-cerebral Imaging Codes

November 15, 2018 Question: What’s not included in the diagnostic cervico-cerebral imaging codes and can be reported separately? Answer: The diagnostic cervicocerebral imaging codes do not include: Interventional procedures such as angioplasty or embolization, Endovascular stent placement Ultrasound guidance for vascular access, e.g., 76937 with 36221-36228 Selective arterial catheterization outside the carotid and vertebral arteries and...

Fracture Treatment and Teaching Physician Requirements
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Fracture Treatment and Teaching Physician Requirements

November 15, 2018 Question: Our physicians teach residents in an academic medical center.  Often the residents see fracture patients in the ED and reduce fractures without the attending physician present.  When the patients follow up with the teaching physicians in the office, they want us to report the global fracture codes that say “without manipulation”,...

AV Access Imaging
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AV Access Imaging

November 15, 2018 Question: How do I code for AV access if instead of puncturing AV access, the common femoral artery is accessed and the catheter is advanced to the AV access for imaging? Answer: CPT says “For radiological supervision and interpretation of dialysis access circuit angiography performed through existing access(es) or catheter- based arterial...

Thrombolysis Through a Chest Tube (Correction of Transposed Code Numbers)
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Thrombolysis Through a Chest Tube (Correction of Transposed Code Numbers)

November 15, 2018 Question: How is installation of tPA into a chest tube coded? Answer: Report this with the following codes:  CPT Code Description ⬤32561 Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day ⬤32562 subsequent day   *This response is based on the best information...

Microdermabrasion
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Microdermabrasion

November 15, 2018 Question: Is the correct code for microdermabrasion 15780 or some other code? Answer: CPT code 15780 (Dermabrasion; total face) is for total face dermabrasion using a tool that penetrates into the dermis.  Microdermabrasion only involves the epidermis, so CPT code 15783 (Dermabrasion; superficial, any site) is the correct code to report for...

Inhalant Allergy Testing Codes
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Inhalant Allergy Testing Codes

November 15, 2018 Question: We’ve been using 95018 for our prick and intradermal testing for inhalant allergy testing.  Suddenly we have been getting denials. Do you have an idea why? Answer: Yes – it is because the coding you are using is for “sequential and incremental” testing for “drugs and biologicals” and should not be...

Retaining Med Spa Patients: The Gift that Keeps Giving
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Retaining Med Spa Patients: The Gift that Keeps Giving

November 13, 2018 We often are asked “How can I grow my patient base?” and our first response is “Don’t lose the patients you have!” Successful practices are intentional about keeping patients engaged and coming back for recurring treatments. Try these five ideas to improve your med spa patient retention. 1. Schedule the next appointment...

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