Category: CC-Orthopaedics

SI Joint Injection Help
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SI Joint Injection Help

October 29, 2020 Question: My physician performed an SI joint injection in the ASC under ultrasound guidance and wants to bill 27096 and 76942. Is this correct? The description of the codes say imaging is included. Answer: No, this is not correct; you are correct to catch the inclusion of the imaging statement. CPT code...

Subacromial Decompression (29826)
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Subacromial Decompression (29826)

October 15, 2020 Question: Our surgeon frequently documents in the procedure title that an arthroscopic subacromial decompression was performed.  We are billing 29826 and are receiving denials from one particular payor stating that the documentation does not support the service.  I am looking at the operative notes associated with these denials and see that in...

Modifier 78: Global Period Impact
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Modifier 78: Global Period Impact

October 1, 2020 Question: We have a patient who had knee surgery and required a return to the operating suite for treatment of a complication during the global period. We will bill the second surgery with a modifier 78. My supervisor is saying the aftercare needs to be extended another 90 days because the surgeon...

Generic Hyaluronic Acid Derivatives
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Generic Hyaluronic Acid Derivatives

September 17, 2020 Question: Our physicians are looking at purchasing generic Hyaluronan instead of purchasing the name brand Orthovisc or MonoVisc for example. In doing research, I am not finding any NDC codes or HCPCS codes that specifically address the generic Hyaluronan. I also came across this list of Hyaluronic Acid Derivatives. If I am...

Trigger Finger Injection
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Trigger Finger Injection

September 3, 2020 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...

Are Wound Vacs Separately Reportable?
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Are Wound Vacs Separately Reportable?

July 9, 2020 Question: I’m a pediatric orthopedic surgeon.  Some of my team are reporting the NPWT 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 NCCI Standards of Medical Practice edits are being generated. The NCCI guidelines define the...

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