Category: <span>Coding Coach</span>


Reporting the ATT Codes More than Once

I did a large wound closure of the perineum, buttock and testicles with 5 large separate local flaps (v-y, rotation/advancement and rhomboid). The total area of the defect was very large and required five local flaps for closure. I billed for the 5 flaps separately (14301-59 five times). Medicare paid once for 14031. How do I better bill this large repair to get paid?



I saw your Q&As on billing for weekend rounds – they were very helpful. What if my PA makes rounds on a patient, during the global period, that I operated on? The PA was not involved in the surgery and did not bill as an assistant for the procedure. So can my PA bill for weekend rounds? What if it is my neurosurgeon partner’s PA?


CMS Denials for CPT code 22633 and 63047

We reported CPT code 63047 with 22633 for a laminectomy, facetectomy, foraminotomy at the same level to Medicare. Both service were performed at L4-5 and well documented according to the CPT rules. We received a denial for CPT code 63047 as inclusive and have tried to appeal, but Medicare will not reverse the denial.

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Coding Coaches