Category: Coding Coach

Knee Ligament Repair vs Reconstruction
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Knee Ligament Repair vs Reconstruction

June 16, 2022 Question: What type of graft or fixation material is required to report open extra-articular knee ligament reconstruction code 27427? Our physician is listing “MCL repair” and “MCL reconstruction” within the same operative note. It first describes repair of the ligament using Suture Tape. In a separate paragraph the physician describes insertion of...

Billing for Intestinal Tear During Enterostomy Closure
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Billing for Intestinal Tear During Enterostomy Closure

June 16, 2022 Question: While performing a cholecystectomy a tear in the small bowel was made during extensive lysis of adhesions. Can repair of this injury be billed in addition to the cholecystectomy? It was unavoidable since it was the consequence of the extensive lysis required? Answer: Although the tear was unavoidable, the repair would...

Remote Patient Monitoring
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Remote Patient Monitoring

June 2, 2022 Question: We are going to begin using remote therapeutic monitoring in our pain practice to monitor our patients pain functional status and compliance with exercise therapy. For the initial set up and education can our MA perform this service? Answer: Yes, the clinical staff may perform the initial set up, and education...

Approved Telehealth Platforms
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Approved Telehealth Platforms

June 2, 2022 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform to conduct a telemedicine visit? Answer: During the public health emergency (PHE), you may use any app or platform that is not “public facing” according to HHS. Platforms such as Facebook Live, Twitch, and TikTok...

CPT code 10080 versus 10081
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CPT code 10080 versus 10081

June 2, 2022 Question: I am trying to code an I&D of a pilonidal cyst. CPT 10080 is simple and 10081 is complicated. How to do I know which code to choose? Answer: Great question, you would report CPT 10081 (complicated) if the procedure requires marsupialization, approximation of the wound’s edges, and/or primary closure. *This...

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Coding Coaches