Category: CC-Orthopaedics

Superior Capsular Reconstruction
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Superior Capsular Reconstruction

July 11, 2019 Question: What CPT codes do I use for comparison when the surgeon performs a superior capsular reconstruction? I know I have to use an unlisted code. Answer: Great job in knowing that this procedure is reported with an unlisted code. The AAOS recommends comparing this procedure to CPT codes 29827 and 29806. ...

Subscapularis and Supraspinatus Repair
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Subscapularis and Supraspinatus Repair

June 20, 2019 Question: I perform an arthroscopic repair of the supraspinatus and subscapularis tendons through separate incisions/portals.   May I report CPT code 29827 twice? Answer: CPT code 29827, arthroscopic rotator cuff repair is reported one time regardless of whether one or all four tendons are repaired.  Consider adding modifier 22 for the additional complexity...

Laminoplasty
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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
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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)
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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)
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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
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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...

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