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Epidural Lysis of Adhesions
July 22, 2021 Question: I am trying to find a CPT code for an Epidural Adhesiolysis. Can you tell what…
Harvest of Graft for Repair of Nasal Vestibular Stenosis
July 22, 2021 Question: We did a septoplasty and repair of nasal vestibular stenosis with spreader grafts using septal cartilage.…
E-Consults?
July 22, 2021 Question: One of my colleagues told me that she was doing e-consults with other physicians for Medicare…
Failed Hardware Removal
July 22, 2021 Question: Our surgeon attempted to remove deep hardware in the operating room but was unable after multiple…
Tracheostomy with Glossectomy
July 22, 2021 Question: We billed 31600 for a tracheostomy along with 41140 (total glossectomy). CPT 31600 was denied. How…
Lesion Destruction on the Eyelid Margin
July 22, 2021 Question: My physician used liquid nitrogen to destroy a benign lesion on the eyelid margin. Can I…
Skin Biopsy Codes
July 22, 2021 Question: What happened to the skin biopsy codes? I submitted a claim for 11101 (skin biopsy) and…
TDA with ACDF
July 22, 2021 Question: My surgeon did an ACDF at C5-C6 and C6-C7 but also did an artificial disc (TDA)…
Help with Ultrasound Guidance for Injection
July 8, 2021 Question: We have been using codes 0228T/0229T for epidurals (cervical or thoracic) and 0230T/0231T for lumbar epidurals…
Use of Cadaver Cartilage
July 8, 2021 Question: We have a patient that needs a major revision rhinoplasty requiring cadaver cartilage. There is no…
Modifier 78 vs 59
July 8, 2021 Question: What modifier do we use if a patient is returned to the OR the same day…
RVUs for J codes
July 8, 2021 Question: I’m using Code-X at my practice and, unfortunately, I couldn’t find physician fee reimbursement in the…
CPT 62165 with 30140, 31254
July 8, 2021 Question: Are CPT 30140 (submucous resection inferior turbinate) and 31254 (endoscopic anterior ethmoidectomy) bundled with code 62165…
Telehealth Billing During the Public Health Emergency
July 8, 2021 Question: We have been providing Telehealth visits using audio and visual means to many of our patients…
Use of a Scribe
July 8, 2021 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
Non-Segmental vs Segmental Instrumentation
July 8, 2021 Question: The provider listed one of the procedure statements as bilateral percutaneous L4-L5 segmental instrumentation placement along…
Counting” Data for 2021 Office E/M Codes
June 24, 2021 Question: I am confused about the Data component for the new office visit guidelines. Many of my…
Adjacent Tissue Transfer
June 24, 2021 Question: A few years ago I was at your plastic surgery coding workshop in Chicago – you…
Global Period for Debridement
June 24, 2021 Question: I thought the global period of debridement of muscle or bone was 10 days. Is that…
Open or Arthroscopic CPT Code
June 24, 2021 Question: Our foot and ankle surgeon performed a right talar arthroscopic intraosseous bioplasty core decompression for an…
Flexible Laryngoscopy in the OR
June 24, 2021 Question: What is the CPT code for flexible laryngoscopy performed in the OR under anesthesia? Answer: Right…
MDM Credit for Office Visits in 2021
June 24, 2021 Question: I am a Dermatologist. I have a patient who was referred to my office who has…
How Do You Define “No Qualified Resident Available”?
June 24, 2021 Question: Our physicians utilize residents during surgery but we have a discrepancy in what is considered a…
ACDF and Carpal Tunnel Decompression
June 24, 2021 Question: The neurosurgeon performed an ACDF and then also did a carpal tunnel decompression at the same…
Trigger Finger Injection
June 10, 2021 Question: Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer:…
Breast Reduction with Liposuction
June 10, 2021 Question: If I do both a breast reduction, 19318, and liposuction of the breast, 15877, do I…
Debridement Coding
June 10, 2021 Question: If 10 sq. cm subcutaneous tissue is debrided from the right leg and 20 sq. cm…
Non-Manipulative Treatment of Finger Fractures: One Code or Four Codes?
June 10, 2021 Question: Our physician diagnosed non-displaced middle phalangeal fractures on the right index, middle, ring, and little fingers…
Laceration and Fracture Repair
June 10, 2021 Question: My physician is utilizing an open laceration on the patients chin for open reduction of a…
Using Time to Select Office E/M Service
June 10, 2021 Question: If I use time to select my E/M service in the office, can I just document…
Articles
New Procedures Added to Medicare’s Prior Authorization (PA) List Effective 7/1/21
May 26, 2021 Since 7/1/20, when CMS initiated a requirement for specific procedures to be prior authorized, we have sent…
Is Time on Your Side in 2021?
AAOSNow – November 2020 by Margaret M. Maley In 2021, medical decision making (MDM) or time can be used to select the…
Five Coding Tips for Dealing with Third-party Billing Entities
Five Coding Tips for Dealing with Third-party Billing Entities AAOSNow – February 2020 by Sarah Wiskerchen, MBA, CPC Whether due…
Prior Authorization Chaos is the New Normal for Spine Surgery
ORTHOWORLD – December 11, 2019 In 2017, the American Medical Association surveyed physicians across all specialties about the amount of…
All Work (RVUs) and No Pay?: Eight Questions to Ask the Hospital about Its Work RVU Compensation Formula
GreenBranch.Com – Jan/Feb 2013 by Sarah Wiskerchen As more surgeons and specialists are offered hospital employment, work RVU-based compensation agreements…
Therapy Billing: Be Sure Your Team Is Doing Things Right
Therapy Billing: Be Sure Your Team Is Doing Things Right AAOSNow – October 2019 by Sarah Wiskerchen, MBA, CPC Many…
Coding Errors Can Cost You Money and Potentially a Sale
Coding Errors Can Cost You Money and Potentially a Sale Healio Orthopedics – October 2019 by Karen Zupko As more…
4 Reasons You Should Prepare a Physician Rights and Responsibilities Document
4 Reasons You Should Prepare a Physician Rights and Responsibilities Document Physicians Practice – September 2019 by Karen Zupko It’s…
7 Things to Include in Your Practice's Governance Agreement
7 Things to Include in Your Practice’s Governance Agreement Physicians Practice – September 2019 by Karen Zupko and Michael R.…
How to Bill and Get Paid for Unlisted Procedures
How to Bill and Get Paid for Unlisted Procedures AAOSNow – September 2019 by Cheryl Toth Orthopaedic surgeons often perform…
5 Questions Every Older Physician Should Ask Themselves
5 Questions Every Older Physician Should Ask Themselves Physicians Practice – August 2019 by Karen Zupko 1. Realistically, how long…
Does My Documentation Tell the Story in Critical Care?
Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and…
Does Your Practice Treat Pain?
Does Your Practice Treat Pain? AAOSNow – August 2019 by Cheryl Toth Interventional pain management is a growing specialty, and…
Practice Acquisition: How to be Easy to Do Business With
Practice Acquisition: How to be Easy to Do Business With Healio Orthopedics – August 2019 by Karen Zupko When was…
Seven Common Questions in Foot and Ankle Coding
AAOS Now – July 2019 by Sarah Wiskerchen A previous article published in AAOS Now (“How to Avoid Common Mistakes…
Four Proven Post-Consult Follow Up Techniques
Aesthetic Society News – Summer 2019 by Karen Zupko Turning callers and prospects into scheduled consults is a subject that…
5 Questions to Ask About wRVU Compensation
Physicians Practice – June 2019 by Amy Boyer, MBA Physicians employed by a medical group, hospital or academic institution are…
Develop a Data and Device Destruction Policy in Five Easy Steps
Develop a Data and Device Destruction Policy in Five Easy Steps American Association for Physician Leadership – June 2019 by…
Tips and Best Practices for Using Code-X
Tips and Best Practices for Using Code-X AAOS Now – June 2019 by Cheryl Toth After speaking with Michael Marks,…
Get Your House in Order: Prepare for Private Equity Acquisition
Orthopaedics Today – May 2019 by Wathen Strong With ever-increasing amounts of private equity flowing into health care, orthopedic surgeons are…
Clean Up the A/R Before Putting the Practice on the Market
Clean Up the A/R Before Putting the Practice on the Market Physicians Practice – May 2019 by Cheyenne Brinson Thinking…
Coding Experts Weigh in on the Value of Code-X
Coding Experts Weigh in on the Value of Code-X AAOS Now – May 2019 by Cheryl Toth If you are…
NEW: Solve Your Practice Pain Points with Practice Solutions Online
NEW: Solve Your Practice Pain Points with Practice Solutions Online Aesthetic Society News – Spring 2019 by Cheryl Toth Is…
Strategies and Scripts for 4 Common Objections
Strategies and Scripts for 4 Common Objections Aesthetic Society News – Spring 2019 by Karen Zupko After decades of educating…
Cost Saving Strategies to Save Your Practice Money
Cost Saving Strategies to Save Your Practice Money Doctors Direct Insurance – Winter 2013 by Cheyenne Brinson Like most practices,…
7 Ways to Modernize Business Writing Mechanics
7 Ways to Modernize Business Writing Mechanics Medical Office Manager – 2019 by Cheryl Toth You don’t need a degree…
Four Tips for Avoiding Data Breaches
Four Tips for Avoiding Data Breaches AAOSNow – April 2019 by Michael R. Marks, MD According to a new report by Radware,…
Selling your practice? Clean up the coding first.
Selling your practice? Clean up the coding first. Physicians Practice Pearls – March 2019 by Karen Zupko As more and…
