Category: Coding Coach

Trigger Finger Injection
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Trigger Finger Injection

June 10, 2021 Question: Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”). CPT code 20551 defines an injection to single tendon at the origin/insertion site. Trigger finger injections are most...

Debridement Coding
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Debridement Coding

June 10, 2021 Question: If 10 sq. cm subcutaneous tissue is debrided from the right leg and 20 sq. cm is debrided from the left leg, is it coded as 11042 and 11042-59 or 11042 RT and 11042 LT? Answer: If debridement is performed at the same depth of tissue (all subcutaneous tissue) it is...

Non-Manipulative Treatment of Finger Fractures: One Code or Four Codes?
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Non-Manipulative Treatment of Finger Fractures: One Code or Four Codes?

June 10, 2021 Question: Our physician diagnosed non-displaced middle phalangeal fractures on the right index, middle, ring, and little fingers on a high school student. The physician applied a short arm cast as treatment and wants to report CPT code 26720 four times. I explained to the physician that she may only report this code...

Laceration and Fracture Repair
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Laceration and Fracture Repair

June 10, 2021 Question: My physician is utilizing an open laceration on the patients chin for open reduction of a mandibular symphysis fracture. He wants to also charge for complex laceration repair for that laceration. Is this billable or is it part of the ORIF code? Answer: If the fracture is repaired through the laceration...

Bilateral Sciatica
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Bilateral Sciatica

June 10, 2021 Question: What is the correct  ICD-10-CM for bilateral sciatica? My doctor tells me to use both M54.31 & M54.32 but this doesn’t seem right. Answer: There is not a diagnosis code for bilateral sciatica. You are correct to use M54.32 and M54.31 to report this condition. *This response is based on the...

Telehealth Coding Using Audio Only
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Telehealth Coding Using Audio Only

May 27, 2021 Question: My doctors are providing telehealth office visits using audio only. They have told me it is okay to use E/M codes 99202-99215 for telephone visits. I was reading the temporary guidelines for Telehealth during the PHE and cannot verify these are the right codes. Can you help? Answer: When the telehealth...

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Coding Coaches