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    Wiki 28090

    My surgeon did this procedure: Following thorough irrigation, all surgeons involved changed the outer layers of gloves and used sterile instrumentation from this point forward. At this time, it was noted that the FHL tendon was too diseased to leave intact and was excised at its most proximal...
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    Wiki coding 33508 for EVH of SVG for CABG

    I have a question regarding the 33508 being added with the 33533 - 33536. when they are doing both an artery bypass and a vein bypass in the same operative session using the endo harvest we are appending a 59 modifier to the 33508. with the X modifiers we are wondering if instead of the 59 we...
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    Wiki Bill for physican assistants rounding in the hospital

    I'm just wondering why it would be considered incident to a surgeon that is not employed by the same practice that the PA is employed by. They are not from the same group or specialty. If an internist would round on a cardiology patient who had a procedure done is the internist who is not part...
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    Wiki Bill for physican assistants rounding in the hospital

    I wanted to know what other practices are doing who employ Physician Assistants. We have about 20 in our group. When a community based surgeon dose a surgery that one of our PAs DOES NOT assist on is it ok to charge for an in-patient rounding visit if our PA rounds on that patient? There are...
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    Wiki question about G0289

    the verbage in the CPT book now includes condroplasty same or separate compartment regardless of who the insurance carrier is. G0289 can still be used for loose body, foreign body if done at the same time as aonther arthroscopy if the loose body, foreign body is in a different compartment. I...
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    Wiki x-ray interpretation in the OR

    I have a questions for everyone. My physicians have been told that if they run fluro in the OR and then print a hard copy image they can bill for the interpretation of the image and the fluro. So my spinal physician was told he can bill the 76000-26 for the fluro and also a 72100-26 for the AP...
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    Wiki Medicare denying xrays for pa's/np's???

    We got hit by this too. We found out through many phone calls to Medicare that the PA can't be paid for the global x-ray anymore. They have yet to publish the policy. We were told they will only pay the professional component due to licensure of the PA. We are resubmitting all of our x-rays...
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    Wiki Question regarding change to 29881

    Thank you. That was what I thought but I needed to get confirmation from another coder to take this to the physician.
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    Wiki Question regarding change to 29881

    When a code has been revised and the definition of the code changes effective as of 01/01/2012 do most of you follow the old definition until denials are received or do you go by the new definition effective date? The physician wants to still bill a chondroplasty performed in a different...
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    Wiki 64418 can it be billed w/shoulder artho codes

    I have a question for all the orthopedic codes. If a surgeon is doing an arthoscopic procedure in the shoulder and then administers a suprascapular nerve block (64418) can this now be billed and paid on. Up until January first this code was grayed out in the CCI edit book and we were appending...
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    Wiki Pt/ot coding softward

    To all my orthopedic friends out there. Does anyone know of a PT/OT coding software similar to the AAOS Codex? The office I work for is just starting to go paperless and they are interested in finding a software that will help with the PT/OT coding. Any and all suggestions would be...
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    Wiki Synvisc injection help!!!

    We just went through this in our office. I contacted the synvisc rep and they gave me the conversion over the phone and lleopard is right. if you are using the series of 3 injections you would bill 16 units per injection. if you are using synvisc one you would use 48 units per injection...
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    Wiki Medical Clearence or H&P

    If the operating surgeon is doing the medial clearence prior to surgery are they allowed to bill for this or is it part of the H&P? Currently our doctors are required to reveiw all labs and ekgs by the hospital prior to the surgery. For some of these patients they would send them to their PCP...
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    Wiki can you bill for an H&P if a full E&M is rendered?

    that's what I thought. I will explain it to him again that it is part of the surgical package. thanks
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    Wiki can you bill for an H&P if a full E&M is rendered?

    This is a question for all the coders out there. One of the physicians in the practice I work for is doing a full E&M on all of his H&P patients prior to surgery. This is not just bringing the patient in to fill out paperwork for surgery. He is reviewing lab work and doing a full workup on...
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    Wiki Subcutaneous transpostion of ulnar nerve

    the hand surgeon in our office wants to start doing more of these procedures but wants to make sure we are coding correctly for this. we both think the cpt code for this would be the 64718, but he wanted me to check on this because he remembers hearing someing in one of his seminars that there...
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    Wiki E0190

    I have a question for all my coding brothers and sisters. Our Physical Therapy department is handing out the McKenzie Lumbar Roll. This is considered a positioning pillow. The HCPCS code giveing to us by the supplier is E0190. The problem is that it falls under the Decubitus Care Equipment...
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    Wiki Arthroscopy knee w/lateral gutter

    Hi All, Just looking for some help to educate my docs. MD did Synovectomy, and Chondroplasty both in patellofemeral joint. Then states removal of loose body in the lateral gutter, but he also did medial and lateral menisectomy. I'm not allowing the synovectomy or the loose body but did allow...
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    Wiki Lymphatic wrap for Physical Therapy

    Hi everyone, I am looking for some help on this subject. I have two occupational therapists that work in the practice I code for. They are starting to do lymphatic wraps for our upper extremity patients. I know there are practices out there that specialize in this. Is there a CPT code that...
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