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Diagnosis Code Incompatibility
April 11, 2019 Question: We are being told by our billing service that “CPT 22551 as the procedure/diagnosis code combination…
Skull Base Surgery
March 28, 2019 Question: My neurosurgeon did a craniotomy with removal of a frontotemporal meningioma with stereotactic navigation and the…
Diagnosis Code for Post Op Visits
March 14, 2019 Question: What’s the best way to do the diagnosis coding for postop visits? I mean, does it…
Post Op Hemorrhage Repair: Is it Billable?
February 28, 2019 Question: Can I bill for taking the patient back to the OR to explore and repair post-op…
Documenting Codes in the Operative Note
February 14, 2019 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
Billing Fluoroscopy with Spine Procedures
January 31, 2019 Question: Is there ever a situation where it would be appropriate to bill 76000, or any other…
Re-Do Discectomy
January 17, 2019 Question: Hello Kim! Could please help me verify the best code to use? This op note states…
Removal of Lumbar Drain
December 13, 2018 Question: I received a call from one of our PAs regarding the removal of a lumbar drain…
Laminectomies at Separate Spinal Regions
November 29, 2018 Question: Quick question, if one of our doctors did a laminectomy facetectomy at L3-L4 and then through…
Cervico-cerebral Imaging Codes
November 15, 2018 Question: What’s not included in the diagnostic cervico-cerebral imaging codes and can be reported separately? Answer: The…
Payment for 20930/20936
November 1, 2018 Question: Will payors reimburse 20930 or 20936? Answer: Yes! Payment depends on the specific payor and plan. …
Vasospasm Treatment with Aneurysm Coiling
October 18, 2018 Question: Can you bill for treatment of vasospasm (61650) when also treating the same vascular territory you…
Modifier 22
October 4, 2018 Question: My neurosurgeon just came back from surgery – he had a really bad day. He wants…
Postop Consult
September 20, 2018 Question: If a rehab facility I have privileges at consults me for a postop patient in postop…
Diagnosis Coding for Hydrocephalus
September 6, 2018 Question: What is the ICD-10-CM code for hydrocephalus following an intraventricular hemorrhage? Answer: That depends on how…
Coding Twist Drill Ventriculostomy with Craniotomy/Craniectomy
August 23, 2018 Question: When is it ok to unbundle 61107 from the craniotomy/craniectomy code? Answer: It is acceptable to…
Refresh your Referral Building
Physicians Practice – August 22, 2018 by Karen Zupko Years ago, a “good referral” was described using the Three A’s…
Microscope with Carotid Endarterectomy
August 9, 2018 Question: Can we code the microscope (69990) with 35301, carotid endarterectomy? Answer: CPT does not list 35301…
When is it OK to “Unbundle” 22845 from 22853?
July 26, 2018 Question: When is it acceptable to use modifier 59 on 22845 to unbundle it from 22853? Answer:…
Bundling of +22845 with +22853
July 12, 2018 Question: How do we avoid non-payment for 22845 with 22853? Answer: Good question! Medicare instituted a National…
Microscope with 63030 Issues
June 28, 2018 Question: Why do some insurance companies pay for the microscope (+69990) when we bill it for a…
Multiple Procedure Payment Formula
June 14, 2018 Question: What is Medicare’s multiple procedure payment formula? When I do more than one procedure, I know…
ICD-10-CM Code for DBS Battery/Generator Replacement
May 31, 2018 Question: We are using the diagnosis code of T85.190 (Other mechanical complication of implanted electronic neurostimulator of…
Carotid Stenting and Diagnostic Angiograms
May 17, 2018 Question: I was told that no diagnostic angiogram can be billed with a carotid stent. Is this…
ICD-10-CM Code for Spinal Stenosis
May 3, 2018 Question: Should the code set M48.0- be used for both central canal stenosis and foraminal stenosis? Answer:…
Evacuation of Cervical Epidural Hematoma
April 19, 2018 Question: How do I code a cervical laminectomy with extradural epidural hematoma evacuation? I was thinking about…
Removal of Halo
March 29, 2018 Question: One of my neurosurgeons saw a new patient in the office for evaluation of neck pain…
Placement of Lumbar Subarachnoid Drain
March 15, 2018 Question: My neurosurgeon states he placed a subarachnoid drain in the lumbar spine after a craniotomy for…
Injection of Marcaine into Muscle/Skin
March 1, 2018 Question: My neurosurgeon always injects Marcaine into the muscle and skin incision prior to closure after spine…
Intradural Neurolysis of Spinal Cord with Laminectomy for Tumor Removal
February 15, 2018 Question: One of our neurosurgeons did a thoracic laminectomy and removal of intradural, intramedullary tumor. He says…
Articles
Stay Current with Spine Procedural Coding
AAPC News – May 2017 by Kim Pollock, RN, MBA, CPC, CMDP See how spine procedure codes, guidelines, and reporting have…
2017 Spine CPT Code Changes
AAOS Now – November 2016 by Kim Pollock, RN, MBA, CPC, CMDP Spine surgeons face a multitude of Current Procedural…
Spine Practices May Lose Money When They Do Not Bill for Consults
Healio- October 2016 by Kim Pollock, RN, MBA, CPC, CMDP and Teri Romano, BSN, MBA, CPC, CMDP Medicare eliminated payment…
Spine Surgery Quandary: Posterior Lumbar Interbody Fusion
Healthcare Business Monthly – June 2016 by Kim Pollock, RN, MBA, CPC, CMDP When do you bill 63056-59 with 22633,…
Follow an eight-step formula for correct spine coding
Spine Surgery Today, September/October 2014 Teri Romano, BSN, MBA, CPC, CMDP, and Kim Pollock, RN, MBA, CPC Reporting the “just…
Follow an Eight-Step Formula for Correct Spine Coding
Follow an Eight-Step Formula for Correct Spine Coding – September/October 2014 by Teri Romano, BSN, MBA, CPC, CMDP and Kim Pollock,…
Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries
Procedure Coding Made Simple: Five Principles Will Help You Capture Appropriate Charges for Spine Surgeries – September 2013 by Kim Pollock, RN,…
Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified
Coding For Same Day Anterior-Posterior Spine Procedures: Four Myths Clarified – November / December 2012 by Kim Pollock, RN, MBA, CPC, CMDP…
Webinars
Audits and the Modifier 25 for Pain Physicians
About The Zipinar Will Answer What is the 25 modifier and what is all the fuss about? What do CPT…
Therapy Functional Limitation Reporting
Join Sarah Wiskerchen in this 38 minute webinar as she steps through Medicare’s Mandatory Functional Limitation Reporting. If your physician practice…
Coding and Coverage of Bariatric Procedures
Coding and Coverage of Bariatric Procedures Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Getting paid for open and laparoscopic…
Navigating Coverage Policies in Varicose Vein Treatment
Navigating Coverage Policies in Varicose Vein Treatment Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker The treatment of varicose veins,…
Hand Coding II
Build on your knowledge of hand coding. This course addresses the granular nature of coding and documenting hand fractures and…
Hand Coding I
Staff and managers new to hand coding who want to code correctly for common hand procedures will find good value…
Documenting and Coding for Mohs Micrographic Surgery in 7 Steps
Join Deb Grider in this 24 minute Zipinar as she reviews these important aspects of correctly coding Mohs surgery. Do…
Arthroscopy Coding Bundle - Hip, Knee and Shoulder
$179 Hip, Knee, and Shoulder included! (Best Value) Buy Now Hip Arthroscopy The hip is one of the newer joints…
2018 Update in Otolaryngology Coding and Reimbursement
More Info What’s Discussed There are many important CPT code changes for otolaryngology in 2018! We will discuss the following:…
2018 Coding Update for Vascular Surgery
2018 Coding Update for Vascular Surgery Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Once again, vascular surgery has undergone…
How to Prepare for a Payment Audit: Tactical Strategies for Defense
Whether you’ve already received an audit notice or you’d like to prepare for the inevitable, this fast and tactical webinar…
Telehealth: Are You Ready for the New Frontier of Medicine?
Considering offering telehealth services to patients? Already offering telehealth but wondering if you’re in compliance with current laws, as well…
MIPS Made Easier for Surgeons
More Info You Will Learn MIPS enters its second year and the penalty for not participating rises to 5%. KZA…
2017 Coding Update for Spine Surgery
More Info Who Should Watch? Orthopaedic surgeons Neurosurgeons Practice managers Billing managers Coders Billing staff What’s Discussed: What’s new for…