Coding Resources
VASCULAR SURGERY
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Billing code 34713, using a 12 French or larger catheter with EVAR
May 28, 2020 Question: I almost always use a 12 French or larger catheter for placing the main body for…
Billing Additional Pre-Op Visit
May 14, 2020 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission,…
Billing Multiple Phone Calls
April 30, 2020 Question: Can we bill telephone only (99441-99443) calls subsequently during the week (or the same day) for…
Documentation Requirements
April 16, 2020 Question: What are the documentation rules for telehealth visits? Answer: Medicare now says that the appropriate E/M…
Approved Telehealth Platforms
April 2, 2020 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform…
Billing code 36200 with EVAR
March 19, 2020 Question: I’m confused about how to code the catheterization with the new EVAR codes. We still do…
LCDs and Vein Procedures: Should We Know About These?
March 5, 2020 Question: We have an office-based vein center and have hears that something called LCDs should be followed…
Intraoperative ICG Dye Angiography
February 20, 2020 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion…
Wound Vac Billing
February 6, 2020 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes…
Catheterization Codes in Vascular Coding
January 23, 2020 Question: Are there any vascular CPT codes that still allow separate reporting of selective and non-selective catheterization…
Renal Angiogram Coding
January 9, 2020 Question: Is catheterization separately reported with renal angiograms? Answer: No. The renal angiogram codes, see table below,…
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…
Coding Right and Left Carotid Stents at Different Operative Sessions
November 14, 2019 Question: The physician staged a patient’s bilateral carotid stent with embolic protection procedures. The right carotid stent…
Providing the exposure for a neurosurgeon. How is it coded?
October 31, 2019 Question: Our vascular surgeon provided exposure for a neurosurgeon for a 3 level anterior spine procedure.…
Providing the exposure for a neurosurgeon. How is it coded?
October 17, 2019 Question: A neurosurgeon asked my vascular surgeon to perform the exposure for an anterior spine procedure. Does…
Reporting 75630 with Extremity Angiograms
October 3, 2019 Question: Can code 75630, aortogram, be reported with a unilateral or bilateral extremity angiogram (75710 of 75716)?…
Iliac Artery Aneurysm Treatment Coding
September 19, 2019 Question: How do I code for an isolated iliac artery treated endovascularly with an iliac endograft? Answer:…
Documenting Codes In the Procedure Report
September 5, 2019 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows…
Use of a Scribe
August 22, 2019 Question: We are hiring a scribe for the doctor because it will help improve his documentation. Is…
How do you define “No Qualified Resident Available”?
August 8, 2019 Question: Our physicians utilize residents during surgery but we have a discrepancy in what is considered a…
Coding for In-Stent Carotid Stenosis
July 25, 2019 Question: How is angioplasty of a previously place carotid stent billed? Answer: For a patient treated with…
Billing Diagnostic Angiograms with an Intervention
July 11, 2019 Question: When are diagnostic angiograms and an intervention (angioplasty, stent, etc) both billable? Answer: Diagnostic angiograms are…
Coding TCAR
June 20, 2019 Question: What is TCAR and how is it coded? Answer: TCAR stands for Transcarotid Artery Revascularization. It…
Documenting Codes in the Operative Note
June 6, 2019 Question: I’ve been dictating CPT codes in the operative note so that my coder knows what to…
OOOPs. I nicked a vessel. Can I bill for repairing it?
May 23, 2019 Question: The surgeon accidentally nicked a vessel not involved in the bypass being performed, can he bill…
Co-surgery or assistant surgery? Which is it?
May 9, 2019 Question: The vascular surgeon is called to the OR to repair a blood vessel that was inadvertently…
E-Consults?
April 11, 2019 E-Consults? Question: One of my colleagues told me that she was doing e-consults with other physicians for…
Modifier 78 vs 59
March 28, 2019 Question: What modifier do we use if a patient is returned to the OR the same day…
Global Period for Debridement
March 14, 2019 Question: I thought the global period of debridement of muscle or bone was 10 days. Is that…
Articles
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…
Is Your Practice Not Getting Paid?
AAOSNow – July 2017 by Michael R. Marks, MD, MBA, and Cheryl Toth, MBA Coding May Not Be the Reason…
Liability Management 101
Liability Management 101 – August 2016 by Michael R. Marks, MD, MBA Why Malpractice Insurance Is Not Enough Today’s orthopaedic practices…
OIG Says "No Bonus Points" for Having a Compliance Plan
AAOS Now – July 2016 by Cheryl Toth, MBA New announcements and guidance push providers toward an active program If your…
The Revenue Engine that Could “Think You Can” by Refining the Revenue Cycle with the Right People, Processes, and Tools
Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In…
8 Things Your Medical Billing Service Should Be Doing
Physicians Practice – 2016 by Karen Zupko What has your billing service done for you lately? A good vendor does more than just…
Is Your Bariatric Practice Ready for Retail?
Mystery Shopping Results Indicate a Need for Improvement – April 2016 by Karen Zupko and Samantha Lappe After the news of a…
The Impact of ICD-10 Implementation
by Kyle M. Lee Survey finds a smooth road so far On Oct. 1, 2015, the 10th revision of the…
Surviving in an ICD-10 World
by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer…
Practice Transition Planning: When Is the Right Time?
The American Journal of Orthopedics – December 2015 by Karen Zupko, BSJ If you are a solo orthopedic surgeon or…
The Only Safe SMS Texting Is No SMS Texting
Greenbranch – Nov/Dec 2015 by Cheryl Toth, MBA, and Michael J. Sacopulos, JD Many physicians and practice staff use short messaging…
Reduce Medical Practice Embezzlement Risk by Implementing Cash Controls
Physicians Practice – September 2013 by Karen Zupko and Cheryl Toth, MBA Several years ago, we visited a practice in…
21st-Century Patient Collections: Implement a Point-of-Service Collections Program Now
The American Journal of Orthopedics – May 2015 by Cheryl Toth, MBA An 8-surgeon group in the Southeast had a…
Seven Surefire Ways to Start a Nonphysician Practitioner Off Right
The Journal of Medical Practice Management – January/February 2015 by Cheryl Toth, MBA With the proper planning and preparation, nonphysician…
The Patient Relations and Service Recovery Guide: A Colorful Approach to Handling Upset and Angry Patients
The American Journal of Orthopedics – January 2015 by Jennifer A. O’Brien, MSOD Tearful breakdowns and loud outbursts—they happen with…
Patient Portal in Your Orthopedic Surgery Practice: You Can So Do This
The American Journal of Orthopedics – September 2014 by Jennifer A. O’Brien, MSOD On initial consideration, the patient portal portion…
Banking: Shop and Compare
Journal of Medical Practice Management – May/June 2014 by Jennifer A. O’Brien, MSOD, and Sherry DeJarnette, CPA There are many reasons to…
Avoid Billing Service Nightmares: Issues to consider before partnering with independent and hospital-based billing services
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD In addition to the compliance and security issues highlighted in…
What To Expect from the Orthopaedic Surgery Practice Manager
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD When a physician gives an order to a nurse, technician,…
Avoid Billing Service Nightmares: Use Business Rigor to Reduce Your Risk: Part I
AAOS Now – February 2014 by Cheryl L. Toth, MBA Recently, an orthopaedic surgeon remarked that he was thinking about…
Are Your Business Associate Agreements HIPAA (Omnibus) Compliant?
Plastic Surgery News Connection – 2013 by Karen Zupko If you’ve been “too busy” to update your Business Associate Agreements…
The Employment Agreement: What Every Doctor (Junior and Senior) Needs to Know, Parts 1, 2, and 3
Journal of Practice Management – May/June 2000; July/August 2000; September/October 2000 by James G. Stuart J.D. This is the first…
