Recent content by bmeech

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    Wiki CPTs 22864 & 22554 together

    Did you ever receive a answer this 2016 question? this is all I can find, but I am now thinking it is old Excerpt from an Ortho Pink Sheet...(date 5-3-10) Revision of cervical artificial disc (22861) includes components 22220, 22505, 62291, cervical fusion (22554 and 22600) and spinal fusion...
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    I had gotten an email to my query....in case someone else comes across this issue as well ( see below) In this case when counting segments it should be C3, C4, C5 the correct code would be 63015, because it's 3 segments. When counting interspace it is C3/C4, C4/C5 and this equal to 2...
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    Has anyone had a chance to review this question
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    My question is the Hemi-Laminectomy portion (without facetectomy, foraminotomy or discectomy) Would the level be counted as C3 & C4 & C5 or would it be C3-C4 & C4-C5== 63001 or 63015, Per Insurance denial they are stating it should be 63015 (?) Per OP note The patient was brought to the...
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    Wiki Confused when Closure is allowed: Open Fx + Exploration.

    Thank you everyone, I know that the ORIF + 11012 is allowed, my concern was his Exploration ( 20103) and the Dr. stating he is "Allowed bill for to Closure all of his Open Fx treatments" ( even after he "extends" the wound) that did not seem right to me and the confusing part of the articles...
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    Wiki Confused when Closure is allowed: Open Fx + Exploration.

    I see several articles on this issue, but still a bit confused. Dr. submitted Open ORIF (27759) + I&D to Bone (11012) + Exploration (20103), All the Same area. He states he is allowed to bill for Closure of this Open Fracture. My thoughts: the Column 2 =20103 bundles with Column 1=11012, a 59...
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    Wiki How do we know if it is 27427 or 27422

    I know that it depends on the location of the approach as 27422:is anteriormedial and the 27427: is over the IT band but is the VMO involved both codes?scrubbed note: We then proceeded with the MPFL reconstruction. We made a 3 cm incision centered over the superior medial patella. A skin knife...
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    Wiki COSC Preference Book used?

    Just wondering what everyone used as their 1 book of preference choice that they brought to the COSC exam? I am thinking of the Orthopaedic Terminology by Fred R. T. Nelson
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    Wiki Knee System; Knee Replacement

    Tka You would only code the CPT for the TKA 27447. Hospital chgs out supplies Brenda Meech, CPC
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    Wiki Modifiers on Bilateral / Assist

    I can not seem to find any information on how the Assist. Surgeon / PA (80 or AS) should be billed as to the "Order of the Modifiers" during a Bilateral procedure. Ex: Total Knee Replacement 27447-50 (primary procedure) 27447-AS or 27447-50-AS or 27447-AS-50, or 27447-AS-RT / 27447-AS-LT...
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    New NCCI shoulder Arthroscopic bundeling

    Slap/ 29822? So then does this mean a 29822 for a Type I SLAP debridement is bundled when a 23412 & 29824 & 29826 is also done? Bundled with the 29824? Brenda M
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    Wiki Open OCD repair medial femoral w/o Graft

    I just seem to think there is a code other then unlisted for this procedure. The Scope code would be 29879, the closest Open I am seeing is a 27415 or 27416 but that is with a Graft, I have also read that due to the defect / fragments it could be a fracture. (ORIF) But I just seem to think that...
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    Wiki Inpatient consult

    Thanks!!! that is exactly what I was looking for...":)
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    Wiki Inpatient consult

    To answer your question of not enough documentation to support the 99221-99223 these codes we have been told to use 99231-99233 based on documentation. Which does not really make much since to me if this is your first visit with the patient
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    Wiki Inpatient consult

    Is this a Medicare patient? If so then your consult for an inpatient would be the 99221-99223...the Admitting Doc uses the same code but adds the AI modifier was my understanding.
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