Month: December 2019

Blog - Plastic Surgeons, Know Thy Brand
Post

Plastic Surgeons, Know Thy Brand

December 10, 2019 We commonly are asked by plastic surgeons: “What should I charge?” This is a valid question that certainly warrants careful consideration, but a more important question must first be answered: Who are you? You see, before you can consider your pricing and other details about your practice, you must first establish your...

Billing for Multiple Embolectomies
Post

Billing for Multiple Embolectomies

December 5, 2019 Question: How do we code multiple embolectomies of the aorta when using 34201? Do we code units by the number removed? Answer: 34201, Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision is billed once per leg incision no matter how many emboli are removed from each incision....

Periacetabular Osteotomy
Post

Periacetabular Osteotomy

December 5, 2019 Question: We have a new pediatric orthopaedic surgeon who has joined our practice. He recently performed periacetabular osteotomies for hip dysplasia. He wants us to report CPT codes 27228 and 27146 x3 for this procedure based on information he received during his fellowship training. We have told him that we must report...

VP Shunt Reprogramming
Post

VP Shunt Reprogramming

December 5, 2019 Question: We had a patient show up in our office, after an MRI ordered by another physician, and wanted their shunt settings checked. We checked the shunt and reprogrammed the shunt to the appropriate settings. We’ve never seen this patient before. Would we bill both the consultation code and the shunt reprogramming...

Coding Bilateral Percutaneously Placed Spinal Cord Stimulator Electrodes
Post

Coding Bilateral Percutaneously Placed Spinal Cord Stimulator Electrodes

December 5, 2019 Question: If bilateral spinal electrode are placed percutaneously, 63650, can both be reported? Answer: Yes, if two electrodes are placed, bilaterally, both may be reported.  See the CPT guidelines below. Reference: CPT Assistant June 1998 Codes 63650, 63655, and 63660 each describe the placement, revision, or removal of only one electrode catheter...

Billing for Incisional Biopsies
Post

Billing for Incisional Biopsies

December 5, 2019 Question: How do we code for 2 separate incisional biopsies – one on the back and another on the patient’s lower lip? Do we use 11106 and 11107 or 11106 and 40490? Do we need any modifiers to make sure the claim is paid? Answer: If all are incisional biopsies (not tangential...

Mastoidectomy Code Question
Post

Mastoidectomy Code Question

December 5, 2019 Question: Is it ok to code 69641, 69642, and 69643 for procedures performed on the same ear at the same operative session? Answer: Absolutely not.  Use only one CPT code – whichever represents the procedure performed. *This response is based on the best information available as of 12/05/19.   [/cmsmasters_text][/cmsmasters_column][/cmsmasters_row]

Skin Biopsy Codes
Post

Skin Biopsy Codes

December 5, 2019 Question: What happened to the skin biopsy codes?  I submitted a claim for 11101 (skin biopsy) and +11101 (additional lesion) and it was denied for “invalid code.” Answer: CPT deleted CPT codes 11100 and +11101, effective 1/1/19, and replaced them with the follow six new codes: 11102 Tangential biopsy of skin (eg,...

  • 1
  • 2
Sign up for KZAlertsSign up for KZAlerts

Coding Coaches