Month: July 2021

Epidural Lysis of Adhesions
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Epidural Lysis of Adhesions

July 22, 2021 Question: I am trying to find a CPT code for an Epidural Adhesiolysis. Can you tell what codes I should use? Answer: It depends on the method. You should use CPT codes 62263 or 62264 for a percutaneous lysis of epidural adhesions which is performed using a percutaneously deployed catheter. If the...

E-Consults?
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E-Consults?

July 22, 2021 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...

Failed Hardware Removal
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Failed Hardware Removal

July 22, 2021 Question: Our surgeon attempted to remove deep hardware in the operating room but was unable after multiple attempts. No other surgical procedures were performed. Are we able to bill anything for the attempted surgery? Answer: Yes, you may. Your scenario indicates “deep hardware” indicating CPT code 20680 (Removal of implant; deep (eg,...

Tracheostomy with Glossectomy
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Tracheostomy with Glossectomy

July 22, 2021 Question: We billed 31600 for a tracheostomy along with 41140 (total glossectomy). CPT 31600 was denied. How can we appeal? Answer: Good question, however, the denial was appropriate.  CPT guidelines say that a tracheostomy is included in the glossectomy codes 41140 – 41155 as these procedures would not be performed without a...

Skin Biopsy Codes
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Skin Biopsy Codes

July 22, 2021 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,...

TDA with ACDF
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TDA with ACDF

July 22, 2021 Question: My surgeon did an ACDF at C5-C6 and C6-C7 but also did an artificial disc (TDA) at C4-C5.  Can I bill for all three procedures? Answer: Yes, you may bill for different procedures performed at different spinal levels. You may need to append modifier 59 (distinct procedural services) to reflect the...

Use of Cadaver Cartilage
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Use of Cadaver Cartilage

July 8, 2021 Question: We have a patient that needs a major revision rhinoplasty requiring cadaver cartilage. There is no remaining local cartilage that can be utilized in this case and my surgeon has opted to use cadaver instead of rib cartilage. I know local grafts are not separately reportable, but is there a way...

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