Month: March 2020

PA Performing Joint Injections
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PA Performing Joint Injections

March 5, 2020 Question: Can our PA perform joint injections for Medicare patients Incident-to the physician? Answer: This depends on the scope of practice for the PA in your state as well as whether the incident-to rules are met. If the physician determines the joint injection is indicate in the plan of care, and it...

Dysplastic Nevus
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Dysplastic Nevus

March 5, 2020 Question: Would I code a melanocytic nevi of the right shoulder with ICD-10-CM code D48.5? Answer: No, you would not use D48.5 which is neoplasm of uncertain behavior. The only time you would report D48.5 is when you have confirmation from a pathology or histology report stating behavior is uncertain or unpredictable....

Wound Vac Billing
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Wound Vac Billing

March 5, 2020 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes 97605 and 97606 when applying wound vacs after closing at the completion of their surgical cases.  As a result, I am told by my coders that billing for these wound vacs is not appropriate, since there...

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Five Coding Tips for Dealing with Third-party Billing Entities

Five Coding Tips for Dealing with Third-party Billing Entities AAOSNow – February 2020  by Sarah Wiskerchen, MBA, CPC Whether due to the complexities of hiring billing staff or a result of hospital employment and practice acquisition, many orthopaedic practices are moving their billing operations to a third-party entity or centralized billing office (CBO). This process...

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