Month: January 2020

Modifier -52 or -53
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Modifier -52 or -53

January 9, 2020 Question: Physician was performing a spine injection and the patient chose to only have local anesthesia. During the procedure (before the medication was injected) the patient was uncomfortable and couldn’t tolerate the position, so the physician stopped the procedure. Would you use modifier -52 or modifier -53 for billing this? Answer: Since...

Dislocation CPT Codes: Traumatic vs Non-traumatic
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Dislocation CPT Codes: Traumatic vs Non-traumatic

January 9, 2020 Question: Is it appropriate to report CPT code 28645 for both traumatic and non-traumatic dislocations? Answer: Yes, CPT code 28645 (Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed) may be reported whether the nature of the dislocation is traumatic or non-traumatic, as long as the dislocation required an open...

Renal Angiogram Coding
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Renal Angiogram Coding

January 9, 2020 Question: Is catheterization separately reported with renal angiograms? Answer: No. The renal angiogram codes, see table below, include all catherization.  The codes are selected by order of catheterization and as unilateral or bilateral.  Also, remember that a flush aortogram is included in the renal angiogram codes and not separately reported. CPT Code...

Six Billing and Coding Secrets to Know
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Six Billing and Coding Secrets to Know

January 8, 2020 We’ve been reviewing revenue cycle, coding, and documentation for nearly 35 years. These six secrets are gleaned from common mistakes we see practices make. Following them can improve reimbursement and revenue cycle, and reduce your risk. Secret #1: Ignore coding at your own peril. Coding has to start from the top. It’s...

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