Month: May 2019

Ear Biopsy
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Ear Biopsy

May 23, 2019 Question: What is the correct code for a tangential biopsy of the antihelical fold?  I was going to bill 11102, but I was told that there are different codes in other sections of CPT for some biopsies. Answer: The correct code would be 69100, Biopsy external ear.  As a bonus, this correct...

OOOPs. I nicked a vessel. Can I bill for repairing it?
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OOOPs. I nicked a vessel. Can I bill for repairing it?

May 23, 2019 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill for repair of vessel since he had to repair it? Answer: Iatrogenic, intraoperative complications that are repaired at the same operative session are not separately reported. Since the vessel laceration was an iatrogenic injury, inadvertently...

Nerve Repair
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Nerve Repair

May 23, 2019 Question: I know that CPT code 64910 is the code I report for a nerve repair of the spine.  My question is when performing this procedure on three levels how to I report this. Answer: You would report CPT code 64910 for each level.  Since the second and third levels are bundled...

E-Consults?
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E-Consults?

May 23, 2019 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare and getting paid.  Is this a billable service? Answer: Yes!  Medicare has added CPT codes 99446-99452 for interprofessional/ telephone/internet/electronic health record (EHR) consultations to the fee schedule, so they are now payable services.  These are...

Use of a Scribe
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Use of a Scribe

May 23, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation.  Is there anything we need to know about how to document this? Answer: Yes, absolutely. This situation should be clearly delineated so a third party reviewer can identify the provider who performed the service, and the...

Coding for Platelet-Rich Plasma Injections in the Spine
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Coding for Platelet-Rich Plasma Injections in the Spine

May 23, 2019 Question: We are starting to do platelet-rich plasma injections in the spine.  Would we bill 64483?  Answer: No because 64483 is specifically for an “anesthetic agent and/or steroid” injection.  The most accurate code is 0232T (Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed).  Be sure to...

Cybersecurity Training for Tight Budgets
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Cybersecurity Training for Tight Budgets

May 22, 2019 Most practices provide cyber security and HIPAA training when an employee is first hired, and annually after that. While certainly this method will check the box for “security training” off the new employee orientation list, it is highly ineffective for maintaining good cyber security habits. That’s because cyber security training is not...

5 Tips for Fine-Tuning the Front Desk
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5 Tips for Fine-Tuning the Front Desk

May 15, 2019 The front desk is the entry point and first impression of the practice. It’s a critical step in the revenue cycle and impacts most areas of the practice. Here are five ways to fine-tune the front desk, in order to improve efficiency and collections, reduce claim denials, and drive practice productivity. 1....

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