Month: April 2019

Op Note Documentation Tips Every Surgeon Can Use
Post

Op Note Documentation Tips Every Surgeon Can Use

May 1, 2019 You’ve submitted, in a timely manner, correct Current Procedural Terminology® (CPT) codes to the insurance company for the procedure you performed. The payor’s explanation of benefits (EOB) or electronic remittance advice (ERA) shows a payment of $0! Now what? Typically, you’d send in the operative note, showing the description of the procedure...

Post

Cost Saving Strategies to Save Your Practice Money

Cost Saving Strategies to Save Your Practice Money Doctors Direct Insurance – Winter 2013 by Cheyenne Brinson Like most practices, you want to save money. Unfortunately, there likely isn’t a pot of gold hiding in your office, so focusing on ways to save $1,000 here and $1,000 there is in order. Often, we find these...

How to Create a Financial Data Dashboard
Post

How to Create a Financial Data Dashboard

April 30, 2019 Looking for an easier way to review financial data each month? Instead of poring over pages of reports with a highlighter, we suggest aesthetic practices create a Data Dashboard: a one-page, high-level summary of critical data points that enables physicians and managers to monitor metrics, spot trends, and speed decision-making. Metrics are...

Modifier 50 for ATT?
Post

Modifier 50 for ATT?

April 25, 2019 Question: My doctor did two adjacent tissue transfers, one on the abdomen and one on the each leg of the patient.  He wants to bill 14020 with modifier 50, but I don’t think that is correct.  Help. Answer: CPT code 14020 has an indicator of “0” for bilateral procedures, which means that...

Prescription Refill Visits
Post

Prescription Refill Visits

April 25, 2019 Question: We get calls from patients to renew their medications.  When the patient comes to office to pick up prescription, can we bill for a nurse visit with 99211? Answer: No.  CPT makes it very clear that picking up a prescription does not constitute a billable E/M service. *This response is based...

Denials for Postop ESS Debridements
Post

Denials for Postop ESS Debridements

April 25, 2019 Question: We are receiving denials for 31237, performed right after endoscopic sinus surgery, stating we did not get prior approval and there was no documentation stating the need for the debridement in my office notes. Have you heard of this? Answer: Yes.  Some payors require precertification for this surgical procedure even when performed...

Laminoplasty
Post

Laminoplasty

April 25, 2019 Question: My surgeon did a C2-C7 laminoplasty and reconstructed with mini-plates. What code should I use?  Answer: This procedure is reported using CPT 63051 (Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and...

63042
Post

63042

April 25, 2019 Question: When would I ever use 63042?  I am not sure I understand the meaning of this code. Answer: Good question!  CPT 63042 (Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar) is used when the diagnosis is recurrent herniated...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches