Recent content by bostonmom

  1. B

    Wiki Periprosthetic capsulectomy with tissue expander exchange to implant

    Hi everyone, I have been questioning what the correct way to code this type of surgery. Provider is doing a tissue expander exchange to implants and also doing a periprosthetic capsulectomy. I know the tissue expander exchange would be 11970 and the capsulectomy is 19371, but there is a CCI...
  2. B

    Wiki Manipulation of hip - without general anesthesia

    Hi everyone, I have a provider who is doing a manipulation of the hip but without general anesthesia. Any idea on how to code this? Procedure note: Diagnosis: Chronic right hip pain with possible subluxation or dislocation. Procedure: Manipulation of the right hip under fluoroscopic guidance...
  3. B

    Wiki 4th and 5th Interpositional arthroplasty

    This is the whole op note: PRE-OP DIAGNOSIS: 1. Malunion 5th metatarsal base left foot 2. Peroneus brevis tendonitis left 3. Intra-articular fracture left cuboid POST-OP DIAGNOSIS: same as above PROCEDURE: 1. Open reduction, internal fixation 5th metatarsal base fracture left foot 2. Repair...
  4. B

    Wiki 4th and 5th Interpositional arthroplasty

    Hi everyone, I am stuck on a surgery. Hoping someone can help me with the coding for the interpositional arthroplasty of the 4th and 5th TMTJ. PROCEDURE: 1. Open reduction, internal fixation 5th metatarsal base fracture left foot - code 28485 2. Repair and reattachment of peroneus brevis...
  5. B

    Wiki Acid applied to callus

    No it is not a verruca, just a callus. For some reason, lately the providers are applying the acid to the calluses after paring. The auditing company is telling us to use 17110 for this but then it gets denied since we are using the diagnosis L84.
  6. B

    Wiki Acid applied to callus

    Hi, I was wondering if anyone could tell me how what CPT code to use when a provider pares a callus, but then applied salicylic acid after the paring? From the note: Continue ammonium lactate, use twice daily Debridement of hyperkeratotic tissue sub 5th metatarsal head, right foot without...
  7. B

    Wiki Q8 modifier and tibial pulses

    Does anyone know if the pulses are detected by doppler only, if that can count as absent? Trying to get a handle on the absent part. Pulses: Dorsalis pedis pulses are detected w/ Doppler on the right side and detected w/ Doppler on the left side. Posterior tibial pulses are...
  8. B

    Wiki CPT 11055/11056 & 11720/11721

    Your are correct, according to the NCCI edits: NCCI has a procedure to procedure edit with column one CPT code 11055 (paring or cutting of benign hyperkeratotic lesion ...) and column two CPT code 11720 (debridement of nail(s) by any method; 1 to 5). Modifier 59 shall not be used to bypass the...
  9. B

    Wiki Metacarpal bossing

    I need some guidance with the following op note. Doc is saying he did an osteotomy of the right 3rd metacarpal. But to me it does not sound like it. I even asked him, he replied: It was a metacarpal and I used a mallet and an osteotome to make my cuts. I had to excise the periosteum with the...
  10. B

    Wiki NCS Help

    Hello, I am new to EMG coding. I am struggling with Nerve conduction studies counting. Would this count as 7 studies or 6? Any help and guidance would very much be appreciated. SNC Left Sural (Lat Mall) Right Sural (Lat Mall) MNC Left Peroneal-EDB Right Peroneal - EDB Ankle and B Fib...
  11. B

    Wiki Help with fracture coding

    Hi everyone! I have a podiatrist that is trying to bill fracture care for a patient but the xray and bone scan are not showing any fractures. X-ray Foot Left 2 Views Narrative: Lateral calcaneal axial the left heel. Bone spur present on the inferior heel. No change from prior exam. No evidence...
  12. B

    Wiki Excision of Achilles tendon

    Hi everyone, I am looking for a code for the excision of the Achilles tendon, it was not repaired. Also the plantaris tendon was also excised. Not sure if it would be an unlisted code. Attention was directed to the left posterior leg where there is an open wound with exposed Achilles tendon...
  13. B

    Wiki I have an issue trying to get Humana to pay multiple fat grafting units

    I have only billed the 20926 code once for each breasts, so if both breasts are done at the same time, then I submit code 20926 with qty 2. It is the understanding from my plastic surgeon and I that no matter how many times the fat is injected into the breast, it can only billed once.
  14. B

    Wiki Help with angiograms

    Hello, I am new to coding angiograms and would like some help with the following report: Patient is a 20 y.o. male who underwent maxillofacial surgery today. Postprocedure significant oral bleeding was noted. Oromaxillofacial surgery team reached out to us for embolization. Patient at this...
  15. B

    Wiki Flap reconstruction for Gustillo Type IIIB/IIIC

    Flap I would agree with you, you want to chose a ICD10 code to the highest specificity that you can. Unspecified wound, will not get the claim paid. I would chose the fracture code also.
See more
Top