Recent content by jghaddock

  1. J

    Wiki ORIF Elbow

    24586 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius) is used when there is a fracture of the distal humerus AND proximal radius or proximal ulna. I think your best choice of CPT would be 24575 Open...
  2. J

    Wiki Knee arthroscopy w/removal of hardware & bone graft of tunnels CPT?

    In a case where my surgeon did a diagnostic scope and debrided the old ACL graft and suture material, placed allograft dowels, then opened the previous incision to remove the biocomposite screw, I billed: 20680 Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or...
  3. J

    Wiki tibial nerve decompression

    If it was the posterior tibial nerve in the tarsal tunnel, I think it would be 28035 Release, tarsal tunnel (posterior tibial nerve decompression). If it is the tibial nerve somewhere else, I'm thinking 64708 Neuroplasty, major peripheral nerve, arm or leg, open; other than specified, based on...
  4. J

    Wiki Celestone J0702 Injection

    The Codify Lay Terms says "One unit of this code represents up to 3 mg of betamethasone acetate and 3 mg of betamethasone sodium phosphate to be delivered via intramuscular, intradermal (not subcutaneous), intra–articular, or intravenous injection." I pulled up the first NDC # on that list for...
  5. J

    Wiki COSC Exam

    I passed!! Even though I sped through the practice exams, I used nearly the entire 4 hours on this one. So thankful there weren't a lot of E/M cases! The surgeries were all lengthy, with multiple procedures, and as Pamela noted in the original post, some had multiple surgeries with multiple...
  6. J

    Wiki COSC Exam

    Congratulations @Blackhorse!!! I did get approved to bring my 2 volume Coder's Specialty Guide as the "one reference of my choice". Exam is tomorrow, but it's snowing here. They've already pushed the time back 3 hours and I'm hoping they don't cancel and the roads are good enough to get there. I...
  7. J

    Wiki COSC Exam

    Thank you! I bought the study package with the 2 volume Coder's Specialty Guide, and when I saw that the 2 volume Coding Companion was allowed as one of the references, I messaged AAPC to see if I could use this instead. They said no. I asked if the 2 volumes (due to physical size) could be the...
  8. J

    Wiki 29823 vs 29822

    I emailed the Karen Zupko Coding Coach about the subacromial bursa recently! Here's my question & their answer: Question: My physician performed a shoulder arthroscopy with rotator cuff repair, debridement of the labrum, humeral head chondromalacia, and an inflamed subacromial bursa, plus a...
  9. J

    Wiki Billing Fracture Care

    I also think it is ok based on something I read in the 2022 NCCI Policy Manual, Chapter IV, page IV 12. It's talking about billing for multiple closed treatments without manipulation, but look at the green text (I didn't see how to highlight it, just turn it green) in the next-to-last paragraph...
  10. J

    Wiki 29823 vs 29822

    Can you count debridement of an inflamed subacromial bursa when they go on to perform a subacromial decompression with acromioplasty (29826)?
  11. J

    Wiki CPT for cephalomedullary nail placed for multiple myeloma?

    I have not, but this did bring to mind a prophylactic treatment of the femur code I have seen in the book. Wondering if this might be helpful... 27495 Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur...
  12. J

    Wiki Osteoporosis fracture

    You should only code the M80.08XA. This is from my COSC study guide: Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80...
  13. J

    Wiki COSC EXAM

    I have the book and have just started the training. I'm already disappointed in how much E/M coding is in there.
  14. J

    Wiki Monteggia Fracture - Coding Help

    I think both fractures of the upper ulna and the reduction of the joint would be included in the 24635. Medicare's NCCI edit says the 64718 is a column 2 code for 24635 and shouldn't be billed. AAOS's Global Service Data says it is not included and could be billed. So, would depend on if the...
  15. J

    Wiki CPT code for knee arthroplasty

    Yes, that's it!
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