Category: CC-Orthopaedics

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...

Tarsal Tunnel Injection
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Tarsal Tunnel Injection

June 11, 2020 Question: I am writing on behalf of myself and my other Orthopedic coding colleagues regarding tarsal tunnel injections. We have done some research on this and cannot find a concrete answer on what CPT code to use for the injection. Are we to be using 64450 or 28899? Answer: According to the...

VEPTR Insertion and Lengthening
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VEPTR Insertion and Lengthening

May 28, 2020 Question: What is the correct code to report for the insertion and subsequent lengthening of the VEPTR device? Answer: VEPTR is the abbreviation for Vertical Expandable Prosthetic Titanium Rib Currently there are no codes for this procedure, where the device is typically attached to the ribs, spine or pelvis. Report an unlisted...

Telemedicine and Fracture Care
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Telemedicine and Fracture Care

April 30, 2020 Question: Our physician conducted a face-to-face telemedicine encounter with an established patient this week. The physician evaluated the patient who had fallen two days prior to the encounter and reviewed online X-Rays from the Urgent Care. His diagnosis was non-displaced right clavicle fracture; he agreed with the treatment plan initiated in the...

Billing Telehealth by Time
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Billing Telehealth by Time

April 16, 2020 Question: Can we bill telehealth visits by time alone? Answer: For Medicare claims, telehealth visits can now be billed according to medical decision-making (MDM) or time, so yes, as long as the code indicates it can be a time-based service in the CPT (e.g. 99201-99215). For all other payors, you will need to check...

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