Power Coding in the ER and OR

Surgery Coding Essentials for CPT and ICD-10-CM

why livestream?

  • Time pressed surgeons will find distance learning keeps them abreast of up to date coding and documentation rules.
  • If your travel budget is cut back, this is an option.
  • Get KZA’s expert coding education from the comfort of your own home or office.
  • Receive the same great workbook and alumni resources.
  • Participate live by submitting questions to speakers and participating in polling.
  • Earn up to 10.25 CME or CEU credit hours.


Power Coding in the ER and OR – Saturday, March 21st
Course begins at 8 AM CST and adjourns at 4 PM CST

Course Information

On Saturday, we’ll continue our extended coverage of subspecialty coding content and case exercises to boost your confidence in common orthopaedic scenarios. Learn to apply surgical modifiers to protect reimbursement and appropriately differentiate CPT rules from Medicare NCCI edits and guidelines. You’ll leave with awareness of reimbursement methodologies for bundled payment, including the importance of Hierarchical Condition Categories (HCCs) and their relationship to comorbidities, and, of course, with the latest 2020 code changes and NCCI updates.

Learning Objectives

  • Use new CPT codes for total joint arthroplasty following infection.
  • Summarize the connection between documenting and coding relevant comorbidities and Hierarchical Condition Categories, and how they are both used in bundled payment contracting.
  • Differentiate AAOS Global Service Guidelines from NCCI guidelines for Medicare.
  • Apply surgical modifiers correctly to prevent denials.
  • Identify how restorative care is defined and how it impacts fracture code selection.
  • Demonstrate surgical coding comprehension through new practice exercises.


Saturday Only

$925/ AAOS Member

$1,075/ Non-Member

Combo Friday PM & Saturday

$1,325/ AAOS Member

$1,625/ Non-Member

2020 AAPC Accreditation

This program has the prior approval of AAPC for 6.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. 


2020 CME Credit for Physicians

For directly sponsored activities: The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. AAOS designates this live activity (Power Coding in the ER and OR) for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAOS requires that orthopaedic surgeons submit a completed evaluation that will be distributed by e-mail in the week following the course in order to receive CME credits. AAOS members: Your CME Transcript will include credits for participation in this live activity approximately four (4) weeks following the course. 

After registering you will receive an initial confirmation with details for the workshop. Approximately one week prior to the event you will receive and email from support@digitellinc.com with login instructions. Additional reminder emails will be sent on the morning of the event.

The emails from support@digitellinc.com are necessary to participate in the workshop. Check your spam folder in case the email is directed to that folder. It is important that you provide the email address of the person who will be participating in the event. Each separate participant requires a unique email address.

Technical support will be available one hour prior to the start of the workshop, during the livestream, and 30 minutes after the course concludes. Support is offered in the form of live chat, email or phone assistance.

Additionally, once you receive your login information you can test your connection on the device you will be using for the livestream. We suggest you do this a few days in advance of the workshop so that you can reach out to the tech support if there are any issues.

You will receive a physical workbook(s) prior to the livestream by Fed Ex or UPS. These will be sent to the address provided in the order.  If they should be sent to a different address please call (312) 642-8310 and we will update the address.

Even though you aren’t in the room with the instructor you will still have the opportunity to ask questions. There will be designated Q&A segments for each course during which both in-person and remote attendees will have the opportunity to ask questions. These questions will be submitted through a panel on the livestream player.

The workshop content is copyrighted property of KarenZupko & Associates, Inc.  Any rebroadcast, reproduction, or other use of the pictures, content and accounts of this workshop or the accompanying workbook without the express written consent of KarenZupko & Associates, Inc. is prohibited.



*agenda subject to change

7:15AM - 8:00AM CST

Help Line and Customer Support

8:00AM - 10:00AM CST

CPT and NCCI for 2020 –
What’s New or Changed  NEW!

Global Surgical Package / AAOS Global Service Guidelines / NCCI Guidelines

  • Navigate the maze of coding vs. reimbursement rules that impact your orthopaedic practice.
  • H&Ps—Are They Billable?

Hierarchical Condition Categories and Comorbidities NEW!

  • What’s the connection and why are they important?
  • How are HCCs used in bundled payment contracting?

10:00AM - 10:15AM CST


10:15AM - 11:00AM CST

Surgical Modifiers

  • Review definitions and practical scenarios for using
    • Same day modifiers: 50, 51, 59, X-mods, F and T modifiers
    • Global period modifiers: 58, 78, 79
    • Role and Complexity Modifiers: 62, 80, AS, 22, 52
  • Identify the difference between modifier 51 and 59—key in shoulder, knee, and spine.

11:00AM - 11:30AM CST


  • What exactly is restorative care?
  • Understand how to code for fracture treatment that begins in the ER and the office—to use global fracture codes or not?
  • Fracture treatment shared by NPPs and physicians

11:30AM - 12:30PM CST


12:30PM - 2:15PM CST


Surgical Coding Concepts for:

  • Sports Medicine:
    • Common coding issues for knee arthroscopy, shoulder procedures, and hip arthroscopy
    • Clarify how to define limited vs extensive in arthroscopic shoulder debridement, and how CMS NCCI policies impact code use.
  • Adult Reconstruction for Hip, Knee, and Shoulders
    • Learn how to use new CPT codes for insertion and removal of drug delivery devices used in staged infection treatment
  •  Hand:
    • Clarify how to choose correct CPT and ICD-10-CM codes for tendon repairs
    • Neuroplasty codes for wrist and elbow
    • Dupuytren’s contracture
    • CMC Arthroplasty
  • Foot & Ankle procedures:
    • Arthrodesis concepts
    • Lisfranc injuries
    •  Arthroscopy
    • Tendon and Ligament procedures
    • Hallux Valgus correction and associated procedures

2:15PM - 2:30PM CST


2:30PM - 4:00PM CST

Surgical Coding Concepts (continued)

4:00PM CST




Follow the live broadcast online.

Registration ends
March 13.

Presented by

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches