Orthocoderpgu's latest activity

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    Orthocoderpgu replied to the thread Wiki Plica, scar tissue procedure.
    Code 29877 is for the debridement / shaving of chondral tissue. So code 29877 would not fit plica/scar tissue.
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    Orthocoderpgu replied to the thread Wiki Consultation Codes.
    If the E/M is based off MDM, and your provider can't treat the patient due to the circumstances, I don't see it as a billable visit. If they can't treat the patient, how can they get credit for MDM?
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    Orthocoderpgu reacted to amyjph's post in the thread Wiki 64704 with 25000 - Help! with Like Like.
    DeQuervain's at the same time as CTR on every case seems uncommon however you stated, "The provider bills these out together frequently and the 64704 gets denied." If it always gets denied, that should tell you something. What was the intent and...
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    Orthocoderpgu replied to the thread Wiki Dx lap including lysis of adhesions.
    You need to code what was performed. Very possible with the adhesions being treated that the patient's symptoms will decrease or go away. Full disclosure I only code ortho surgeries.
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    Orthocoderpgu replied to the thread Wiki Consultation Codes.
    A referral is not a consultation.
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    Orthocoderpgu replied to the thread Wiki CPT open procedure debridement of biciptal groove.
    Code 11043 is in the integumentary system for the debridement of open wounds. Your provider did not debride an open wound, so you can eliminate the codes from the integumentary system. Your provider made an incision to get to the bone, so the...
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    Orthocoderpgu reacted to Morella1's post in the thread Wiki Worried I've made a mistake with Like Like.
    I agree with the last person, I was getting very worried when I first started job searching. Although I had been working in the healthcare industry for many years, all the positions related to coding that I looked at required at least 1 if not 3...
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    Orthocoderpgu replied to the thread Wiki Can medical coders make addendums?.
    I think you know the answer, just need something in writing. No, coders cannot document. I'm aware of a company that went from charts to an EMR, and the EMR initially allowed the coders to document. The coding manager found out, went to the IT...
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    Orthocoderpgu replied to the thread Wiki H&P.
    I've been working in an orthopedic clinic for 10+ years. My guess is that your work flow is probably the same. In orthopedics there really is no H&P "per se". The providers initial visit with the patient will usually be used as the "H&P" at the...
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    Orthocoderpgu replied to the thread Wiki Excision 11400 or 25075.
    I suggest working with your provider on increasing the specificity of the documentation. Code 11400 is for the removal of basically epidural lesions. Code 25075 is for the removal of deeper subcutaneous lesions. In this case lipomas. There's no...
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    Orthocoderpgu reacted to sls314's post in the thread Wiki Inappropriate Modifier? with Like Like.
    I'm not sure on the modifier, but I am questioning the diagnosis code used to bill the biopsy. Uncertain behavior codes should be used only when the pathologist has indicated that the nature of the neoplasm can't be determined as benign or...
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    Orthocoderpgu replied to the thread Wiki Auditing PA assist at surgery.
    What was the given reason for the error? Does the surgical procedure allow an assistant? Does the insurance allow PA's to assist? Something had to be incorrect on the surgeon's codes for it to be "dinged". More information is needed.
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    Orthocoderpgu reacted to sls314's post in the thread Wiki Should I take another certification? with Like Like.
    If someone does not have previous employment experience in the healthcare industry, adding specialty credentials won't necessarily make them more employable. (You'll note in my signature that I have 10 credentials - I definitely support the idea...
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    Orthocoderpgu replied to the thread Wiki J7327 Modifier ?.
    I wonder if they are looking for that modifier. I just asked someone in the clinical staff if they had ever not given the entire syringe and she said no. She's been injecting for 8 years. But they might want that modifier !
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    Orthocoderpgu reacted to amyjph's post in the thread Wiki Demineralized bone matrix for tibia defect with Like Like.
    Did you try to code it? What did you come up with and why?
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