Category: CC-Orthopaedics

Laminoplasty
Post

Laminoplasty

April 25, 2019 Question: My surgeon did a C2-C7 laminoplasty and reconstructed with mini-plates. What code should I use?  Answer: This procedure is reported using CPT 63051 (Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and...

Call Coverage: Return to OR
Post

Call Coverage: Return to OR

April 11, 2019 Question: I appreciate your patience in answering my questions.  I understand the E&M scenarios so let me throw in another type of call coverage relationship.  Recently, I returned a patient to the OR for the physician I was covering; the patient had dislocated their hip after a hip arthroplasty.  I reported CPT...

Weekend Rounds (Part 2)
Post

Weekend Rounds (Part 2)

March 28, 2019 Question: Thanks for answering my question last time – I get it now that I would not charge for rounding on post-op patients of my call partners. What about non-surgical patients?  Occasionally we may have a patient hospitalized with a non-operative condition such as septic arthritis for IV antibiotics that require evaluation...

Weekend Rounds (Part 1)
Post

Weekend Rounds (Part 1)

March 14, 2019 Question: I have just a quick question regarding weekend rounding. I share weekend call with another practice that I am not affiliated with. We sign off our patients to each other when we cover our respective calls.   Sometimes when rounding I check on 5-10 of their patients, some of which are their...

Bone Graft
Post

Bone Graft

February 28, 2019 Question: My surgeon performed a repair of a nonunion with bone graft harvested via a separate incision.  The surgeon submitted CPT code 25431 alone.   I added CPT code 20902 after reviewing the operative note, because the surgeon obtained the bone graft from a distant site via a separate incision.   My surgeon disagrees...

Suture Removal
Post

Suture Removal

February 14, 2019 Question: We had a patient come into our office to have their sutures removed from a hand laceration repaired by someone else. The patient was hurt while out of state on vacation and couldn’t have the sutures removed while away; the original provider performed a layered repair. The problem is the patient...

Joint Injection
Post

Joint Injection

January 31, 2019 Question: We have a non-Medicare patient that brings in her own Viscosupplement drug that she purchases through her drug plan at an outside pharmacy.  We know we cannot bill the drug to the private payors, but want to make sure we are able to report the injection code. Answer: First, please verify...

New or Established Patient
Post

New or Established Patient

January 17, 2019 Question: I am new to Orthopaedics. I am in a practice that employs a joint specialist, spine specialist and a pediatric orthopaedic surgeon in addition to general orthopaedic surgeons.   Do the new patient rules apply to each of these specialties? For example, a patient is first seen by the general orthopaedic surgeon...

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches