Recent content by PLAIDMAN

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    Wiki CPT for intercuneiform fx?

    You are saying pt has a fracture of cuneiform...I would code ORIF with 28465...if both were fx'd and both were fixed..I would use this code 2 times
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    Wiki I-10 hip fx confusion

    I am confused by the upper femur fx codes A Subcapital fx (S72.011A) of the femur IS a transcervical fx (S72.031A) , why are they giving different code sets for same section of femur ? And the Subcapital fx codes are "unspecified" - but transcervical fx ARE specified - it seems to me that...
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    Wiki Does ankle instability support Brostrom procedure? 27695?

    I have been paid for Brostrom with ankle instability code, however, that was before I-10 and it was on 27698 27695 is for primary repair - so you would "expect" an acute code Ankle instability by itself in I-10 is kind of not specific - I typically will see "instability due to old injury/...
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    Wiki Removal of offending Spicules of Ingrown toenails

    I count this in my E/M....you are correct that it really does not fall into a category When I started out, I tried it with 11730 ...then 11720....always denied
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    Wiki Percutaneous trigger finger release

    I would look at 26060
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    Wiki WC/ non-WC, TPL/ non-TPL

    I am no expert on this topic....but...I have been told in seminars that it causes HIPAA issues....if patient is being seen for WC injury to right shoulder and also being seen for toenail fungus (comm ins) and all documentation is included in one note...then when you send med recs to WC (all my...
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    Wiki Documentation required to bill 29826

    sorry I was talking to someone about bunionectomy my doc documents 29826 - "significant subacromial bursitis somewhat hemorrhagic appearing was noted and a thorough subacromial bursectomy was performed with an arthroscopic ablator...anterior impingement lesion with spur was noted...the CA...
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    Wiki Documentation required to bill 29826

    you want to see an osteotomy of the metatarsal (typically with fixation ) and removal of the bony eminence (bunion) at the metatarsal head
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    Wiki Pelvis xrays for knee pain

    have you already been denied for this ? I would bill it out - watch how/if they pay/deny I bill neck xrays with shoulder pain dx - lumbar xrys with leg pain dx - never had a problem getting them paid (mostly never) just make sure documentation is good - they are looking for source of pain
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    Wiki 2 codes in place of 1 code

    HAHA - he does not even let me finish that sentence anymore.....I am very lucky he has fantastic sense of humor thanks for the confirmation - I think I may need to post the question right to APMA - this is the 3rd round of this particular debate we are having
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    Wiki 2 codes in place of 1 code

    my doc wants to bill bunionectomy - 28292 with fusion - 28740 instead of billing 28297 he says "all the other drs are doing it " - he has 2 SEPARATE dx bunion/HAV and also OA of tars/met joint - he feels the 2 diff dx's should justify the use of 2 codes. I was taught - coding 101 - you never...
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    Wiki Physician payment for synvisc medicine during surgery

    my docs take meds to OR sometimes as well....We require them to document in operative report that the meds were brought from "our office"...(state your name/company) - then I have to bill the med separately with our office location as POS I have not had to do this for Synvisc One - but have...
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    Wiki pain at bone graft donor site

    I cant seem to find a code for post-op pain at donor site... Looking at post-op pain G89.18 ? or T86.838A - other comp of bone graft ? any thoughts would be appreciated...
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    Wiki CPT code for partial resection of distal phalanx

    I agree with 28124
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    Wiki painful hardware

    your hardware removal codes 20670 ; 20680 are listed as "separate" procedures , you cannot bill together same time/same body part
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