Month: July 2021

Modifier 78 vs 59
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Modifier 78 vs 59

July 8, 2021 Question: What modifier do we use if a patient is returned to the OR the same day as the original surgery for post-op hemorrhage? Isn’t it 78 for this complication? Answer: Modifier 78 is a global period modifier and the global period begins on post-op day one. So it is not appropriate...

RVUs for J codes
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RVUs for J codes

July 8, 2021 Question: I’m using Code-X at my practice and, unfortunately, I couldn’t find physician fee reimbursement in the RVU tracker for some of the codes in our location. Are you able to guide me or should I contact the AAOS? Here are the three codes: J7320- GenVisc (Intra-articular Injection), J7322 – Hymovis J7332...

CPT 62165 with 30140, 31254
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CPT 62165 with 30140, 31254

July 8, 2021 Question: Are CPT 30140 (submucous resection inferior turbinate) and 31254 (endoscopic anterior ethmoidectomy) bundled with code 62165 (Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach)? I checked Medicare and there are no CCI edits so that seems that I can bill these codes together. The diagnosis code I billed...

Use of a Scribe
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Use of a Scribe

July 8, 2021 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...

Non-Segmental vs Segmental Instrumentation
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Non-Segmental vs Segmental Instrumentation

July 8, 2021 Question: The provider listed one of the procedure statements as bilateral percutaneous L4-L5 segmental instrumentation placement along with the fusion and decompression procedures. In the body of the note he describes placing instrumentation on both sides for the L4-L5. We queried the provider asking for correction of listed procedure to non-segmental (22840). ...

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