Category: CC-Orthopaedics

Subchondroplasty
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Subchondroplasty

December 2, 2021 Question: Our surgeons occasionally perform subchondroplasty procedures. We are reporting this with an unlisted code and are wondering if this is correct. Answer: Yes, through the remainder of 2021 you will continue to report an unlisted CPT code. The AMA released a new Category III code in July 2021, but it is...

Vertebral Body Tethering Codes
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Vertebral Body Tethering Codes

November 11, 2021 Question: We are a pediatric orthopaedic spine practice. Our surgeons are telling us there is a new CPT code for vertebral body tethering. We have combed through the CPT book and are not able to find a code. Are you able to shed some light? Answer: Your surgeons are correct. The AMA...

Telehealth Licensure Requirements
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Telehealth Licensure Requirements

October 28, 2021 Question: We live in a northern state and frequently have patients who travel to warmer clients during the winter. Are you able to direct me to information on state licensure requirements for Telehealth services? Answer: Yes, you will now find this list on the KZA Telehealth Solution site https://www.karenzupko.com/KZA-telehealth-solution-center-access. Look for the...

Balloon Spacer in the Shoulder
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Balloon Spacer in the Shoulder

October 14, 2021 Question: Our orthopaedic shoulder surgeon treated a patient with two massive rotator cuff tears that were not amenable to repair. Due to patient age, the patient would not withstand a reconstructive procedure. Our surgeon placed a balloon spacer arthroscopically in the subacromial space. We are wondering how to code for this procedure....

Dry Needling
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Dry Needling

September 16, 2021 Question: Our pain management physician stated he performed a trigger point injection into 1 muscle. In reviewing the procedure note we find that the documentation supports dry needling was performed. Is CPT code 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)) the correct code? Answer: No, you would not...

Barbotage Procedure
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Barbotage Procedure

August 19, 2021 Question: We recently employed a new sports medicine physician and met with her about the type of procedures she will be performing in the office. We are comfortable with most of them but have never heard of the Barbotage Procedure. She describes it as performed under ultrasound guidance and uses a needling...

“Elbow Injection”
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“Elbow Injection”

August 5, 2021 Question: Our sports medicine physician submitted an office note with documentation that he performed an “elbow injection.” We are new to orthopaedic coding and wondering if CPT code 20605 (he did not use ultrasound guidance) is the correct code. Answer: Your question is not just because you’re new to orthopaedics; we hear...

Failed Hardware Removal
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Failed Hardware Removal

July 22, 2021 Question: Our surgeon attempted to remove deep hardware in the operating room but was unable after multiple attempts. No other surgical procedures were performed. Are we able to bill anything for the attempted surgery? Answer: Yes, you may. Your scenario indicates “deep hardware” indicating CPT code 20680 (Removal of implant; deep (eg,...

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