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Unspecified or Uncertain Behavior
January 9, 2020 Question: My provider insists on calling some lesions uncertain behavior because he is suspicious of cancer. This…
Use of Cross Links with Posterior Instrumentation
January 9, 2020 Question: We have a new physician who has joined our practice and is documenting use of cross…
Modifier -52 or -53
January 9, 2020 Question: Physician was performing a spine injection and the patient chose to only have local anesthesia. During…
Postop Tympanotomy Tube Visit
January 9, 2020 Question: I have a question about post op visits for PE tubes (code 69436). As you know,…
Dislocation CPT Codes: Traumatic vs Non-traumatic
January 9, 2020 Question: Is it appropriate to report CPT code 28645 for both traumatic and non-traumatic dislocations? Answer: Yes,…
Documenting Codes In the Procedure Report
January 9, 2020 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows…
Renal Angiogram Coding
January 9, 2020 Question: Is catheterization separately reported with renal angiograms? Answer: No. The renal angiogram codes, see table below,…
Unspecified vs. Uncertain Behavior Skin Lesion Diagnosis Code
January 9, 2020 Question: Can you refresh my memory on when to use the diagnosis code for skin lesion “uncertain…
Use of a Scribe
December 19, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
Trigger Point Injections Coding: Muscle or Muscle Group
December 19, 2019 Question: One of our Providers recently completed Trigger Point injections to Bilateral Thoracic Paraspinals and Bilateral Trapezius…
Measurements for Excision of Lesion Removal
December 19, 2019 Question: Our coder sometimes uses measurements listed in the pathology report for lesion excisions, because the measurements…
Diagnosis Code for “End of Life” DBS Battery
December 19, 2019 Question: What would be the appropriate diagnosis code (ICD-10-CM) for “end of life battery” when we have…
Implantation of Biologic Implants
December 19, 2019 Question: Can we use 15777 Implantation of biologic implant (e.g. acellular dermal matrix) for soft tissue reinforcement…
Osteoporosis Clinic
December 19, 2019 Question: We have an osteoporosis clinic where our providers see patients on referral. Many times this referral…
Coding for ICG Imaging
December 19, 2019 Question: Can you give guidance on CPT 15860 as it pertains to colorectal surgery? My surgeons have…
Pelvic Angiograms
December 19, 2019 Question: Is angiogram of the iliac arteries reported with the pelvic angiogram code, 75736? Answer: No, code…
Billing for Multiple Embolectomies
December 5, 2019 Question: How do we code multiple embolectomies of the aorta when using 34201? Do we code units…
Periacetabular Osteotomy
December 5, 2019 Question: We have a new pediatric orthopaedic surgeon who has joined our practice. He recently performed periacetabular…
VP Shunt Reprogramming
December 5, 2019 Question: We had a patient show up in our office, after an MRI ordered by another physician,…
Coding Bilateral Percutaneously Placed Spinal Cord Stimulator Electrodes
December 5, 2019 Question: If bilateral spinal electrode are placed percutaneously, 63650, can both be reported? Answer: Yes, if two…
Billing for Incisional Biopsies
December 5, 2019 Question: How do we code for 2 separate incisional biopsies – one on the back and another…
Tattoo Redo After Reconstruction
December 5, 2019 Question: A patient came to us for a redo of nipple micropigmentation, as she was not pleased…
Mastoidectomy Code Question
December 5, 2019 Question: Is it ok to code 69641, 69642, and 69643 for procedures performed on the same ear…
Skin Biopsy Codes
December 5, 2019 Question: What happened to the skin biopsy codes? I submitted a claim for 11101 (skin biopsy) and…
Shunt Revision
November 14, 2019 Question: I had to replace the ventricular catheter and the valve on a patient with a VP…
Binocular Microscopy
November 14, 2019 Question: I oftentimes bill and E/M code with modifier 25 for an office visit and 92504-50 (1…
Modifiers for Free Flap Breast Reconstruction
November 14, 2019 Question: Do the free flap breast reconstruction codes, 19364 and S2068, allow billing for surgeon, co-surgeon and…
Definition of Simple versus Complicated
November 14, 2019 Question: What is the definition of simple vs complicated for the I&D codes 10060 versus 10061? Answer:…
SI Joint Injection
November 14, 2019 Question: My MD performed an SI joint injection with ultrasound guidance in the office. What is the…
Is a 99214 supported?
November 14, 2019 Question: We have patients who return to the clinic for results of MRI or other diagnostic tests. …
Articles
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…
Anatomy of a Lessons Learned Summary
Anatomy of a Lessons Learned Summary Medical Office Manager – March 2019 by Cheryl Toth What do you call the…
Do Your Cybersecurity Policies Need a Checkup?
Do Your Cybersecurity Polices Need a Checkup? AAOSNow – March 2019 by Michael R. Marks, MD When was the last time…
5 Tips to Boost Efficiency for the Front Office
5 Tips to Boost Efficiency for the Front Office Medical Office Manager – March 2019 by Cheyenne Brinson The front office is…
Thumbs Up to Jeffrey Gorke's New Book
Thumbs Up to Jeffrey Gorke’s New Book: The Employed Physician: Your Essential Guide to the Business Side of Medicine Greenbranch Publishing February…
How to Avoid Common Mistakes When Coding Hand Procedures
How to Avoid Common Mistakes When Coding Hand Procedures AAOSNow – March 2019 by Sarah Wiskerchen and Raymond Janevicius, MD Billing…
