Month: December 2019

MIPS Made Easier for Surgeons
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MIPS Made Easier for Surgeons

More Info You Will Learn This webinar will cover orthopaedics, ENT, neurosurgery, plastic surgery, vascular surgery, and general surgery.   As MIPS enters its fourth year, the penalty for not participating rises to 9%. CMS retired 42 quality measures in 2020 including measures specific to orthopaedics, otolaryngology, neurosurgery, vascular surgery, and PMR. KZA consultant Cheyenne...

Use of a Scribe
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Use of a Scribe

December 19, 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...

Measurements for Excision of Lesion Removal
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Measurements for Excision of Lesion Removal

December 19, 2019 Question: Our coder sometimes uses measurements listed in the pathology report for lesion excisions, because the measurements are unclear or missing in the procedure note. Is this ok? Answer: No, for several reasons. Once removed, tissue(s) shrink so don’t depend on the measurements listed in the pathology report as it will most...

Diagnosis Code for “End of Life” DBS Battery
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Diagnosis Code for “End of Life” DBS Battery

December 19, 2019 Question: What would be the appropriate diagnosis code (ICD-10-CM) for “end of life battery” when we have to change the generator in a deep brain stimulator patient. I have gotten mixed responses previously whether or not to bill “mechanical complication” vs “encounter for adjustment”. Or are both of these incorrect? Answer: We...

Implantation of Biologic Implants
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Implantation of Biologic Implants

December 19, 2019 Question: Can we use 15777 Implantation of biologic implant (e.g. acellular dermal matrix) for soft tissue reinforcement for other tissues beside the breast or trunk? Answer: Code 15777 specifically points to breast and/or trunk only, as “i.e.” stands for “in other words”. Report code 17999 Unlisted procedure, skin, mucous membrane and subcutaneous...

Osteoporosis Clinic
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Osteoporosis Clinic

December 19, 2019 Question: We have an osteoporosis clinic where our providers see patients on referral. Many times this referral comes from our own colleagues after the patient is seen through the ED for a fracture. A consult and global fracture care is billed in the ED by the first provider, and the referral is...

Coding for ICG Imaging
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Coding for ICG Imaging

December 19, 2019 Question: Can you give guidance on CPT 15860 as it pertains to colorectal surgery? My surgeons have been using this code when they use the isocyanine green fluorescence imaging either with the robot (Firefly) or open (SpyPhi).  They are saying this code is relevant because they are assessing vascular flow in a...

Pelvic Angiograms
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Pelvic Angiograms

December 19, 2019 Question: Is angiogram of the iliac arteries reported with the pelvic angiogram code, 75736? Answer: No, code 75736, Angiography, pelvis, selective or superselective is only reported with selective or superselective catheterization of the internal iliac arteries (hypogastric arteries) and interpretation of pelvic vasculature. *This response is based on the best information available...

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Prior Authorization Chaos is the New Normal for Spine Surgery

ORTHOWORLD – December 11, 2019 In 2017, the American Medical Association surveyed physicians across all specialties about the amount of time spent by them and their staff on patient prior authorizations. The response was striking. Eighty-six percent of offices reported that their prior authorization activities had increased significantly over the last five years, and the...

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