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    Wiki CPTs 22864 & 22554 together

    Did you ever receive a answer this 2016 question? this is all I can find, but I am now thinking it is old Excerpt from an Ortho Pink Sheet...(date 5-3-10) Revision of cervical artificial disc (22861) includes components 22220, 22505, 62291, cervical fusion (22554 and 22600) and spinal fusion...
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    I had gotten an email to my query....in case someone else comes across this issue as well ( see below) In this case when counting segments it should be C3, C4, C5 the correct code would be 63015, because it's 3 segments. When counting interspace it is C3/C4, C4/C5 and this equal to 2...
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    Has anyone had a chance to review this question
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    Wiki Sx: C3-C5 LAMINECTOMY (without facetectomy, foraminotomy or discectomy)

    My question is the Hemi-Laminectomy portion (without facetectomy, foraminotomy or discectomy) Would the level be counted as C3 & C4 & C5 or would it be C3-C4 & C4-C5== 63001 or 63015, Per Insurance denial they are stating it should be 63015 (?) Per OP note The patient was brought to the...
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    Wiki Confused when Closure is allowed: Open Fx + Exploration.

    Thank you everyone, I know that the ORIF + 11012 is allowed, my concern was his Exploration ( 20103) and the Dr. stating he is "Allowed bill for to Closure all of his Open Fx treatments" ( even after he "extends" the wound) that did not seem right to me and the confusing part of the articles...
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    Wiki Confused when Closure is allowed: Open Fx + Exploration.

    I see several articles on this issue, but still a bit confused. Dr. submitted Open ORIF (27759) + I&D to Bone (11012) + Exploration (20103), All the Same area. He states he is allowed to bill for Closure of this Open Fracture. My thoughts: the Column 2 =20103 bundles with Column 1=11012, a 59...
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    Wiki How do we know if it is 27427 or 27422

    I know that it depends on the location of the approach as 27422:is anteriormedial and the 27427: is over the IT band but is the VMO involved both codes?scrubbed note: We then proceeded with the MPFL reconstruction. We made a 3 cm incision centered over the superior medial patella. A skin knife...
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    Wiki COSC Preference Book used?

    Just wondering what everyone used as their 1 book of preference choice that they brought to the COSC exam? I am thinking of the Orthopaedic Terminology by Fred R. T. Nelson
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    Wiki Knee System; Knee Replacement

    Tka You would only code the CPT for the TKA 27447. Hospital chgs out supplies Brenda Meech, CPC
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    Wiki Modifiers on Bilateral / Assist

    I can not seem to find any information on how the Assist. Surgeon / PA (80 or AS) should be billed as to the "Order of the Modifiers" during a Bilateral procedure. Ex: Total Knee Replacement 27447-50 (primary procedure) 27447-AS or 27447-50-AS or 27447-AS-50, or 27447-AS-RT / 27447-AS-LT...
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    New NCCI shoulder Arthroscopic bundeling

    Slap/ 29822? So then does this mean a 29822 for a Type I SLAP debridement is bundled when a 23412 & 29824 & 29826 is also done? Bundled with the 29824? Brenda M
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    Wiki Open OCD repair medial femoral w/o Graft

    I just seem to think there is a code other then unlisted for this procedure. The Scope code would be 29879, the closest Open I am seeing is a 27415 or 27416 but that is with a Graft, I have also read that due to the defect / fragments it could be a fracture. (ORIF) But I just seem to think that...
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    Wiki Inpatient consult

    Thanks!!! that is exactly what I was looking for...":)
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    Wiki Inpatient consult

    To answer your question of not enough documentation to support the 99221-99223 these codes we have been told to use 99231-99233 based on documentation. Which does not really make much since to me if this is your first visit with the patient
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    Wiki Inpatient consult

    Is this a Medicare patient? If so then your consult for an inpatient would be the 99221-99223...the Admitting Doc uses the same code but adds the AI modifier was my understanding.
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    Wiki Coding round-about for COSC: Cervical Laminectomy

    Good I am glad it helped...but do you see what I mean...these codes really do not fit the OP note...Maybe if you call/write to AAPC also and more people do that, they will go through their tests before publication...Same with the COSC test...I do not usually use these spinal codes at work on a...
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    Wiki Coding round-about for COSC: Cervical Laminectomy

    I know that does not make since due to the note states a laminECTOMY..but I coded a LaminOTOMY...But I have found several discrepancy in these test and by changing the coded as such and it came back stated..."Coded Correct"??? I have contacted AAPC about these issues when I discover them and I...
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    Wiki Coding round-about for COSC: Cervical Laminectomy

    This is what I came up with besides what you have....20930, 63020-50, 22600, 22614x2,63035-50 x2...I did not have your 63045 or the 63048x4 Hope this helps Brenda
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    Wiki Replantation of Great Toe

    In the description of Coding Companion for Orthopeadics it states for 1 of the 4 "fingers" Also under the catagory of upper limb...maybe use a dump code with this as comparison? That is all I can think of Brenda Northern Orthopedics Brainerd, MN
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    Wiki Replantation of Great Toe

    Replantation of Toe: I have found the replantation of digits (20816-20827) of the upper limb and foot (20838), but not of the toe. Could someone help me out?? this is a tough one.... Brenda M Northern Orthopedics Brainerd, MN
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    Wiki help! Perc pinning little toe

    Thought I would share, per the Coding Companion for Orthopaedics... on the 28525 in Coding Tips it says "This code reports percutaneous skeletal fixation of the toe fx other than the great toe" Brenda M. CPC Northern Orthopedics Brainerd, MN
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    Wiki Assist to Surgery

    OK! Thank You so Much for clarifying that for us. Brenda M. CPC
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    Wiki Assist to Surgery

    Just wondering what everyone's thoughts are..., We use Assist (80 or AS) on the sx that allow for this assistance. My questions is when there are several procedures performed on 1 sx session, (Ex: shoulders or Feet) and the assist was there for the entire procedure, would we add the assist...
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    Wiki SLAP w/ glenohumeral debridement & tenotomized the biceps

    Also I know you did not mean 28296 but a 29826, in case someone is reading this...:):cool:
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    Wiki SLAP w/ glenohumeral debridement & tenotomized the biceps

    Thank so much Mary, that is what I wanted to do, but really needed confirmation on my compartments (2 of the 3 to qualify for 29823) Have a Great Weekend !! Brenda M.CPC
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    Wiki SLAP w/ glenohumeral debridement & tenotomized the biceps

    Would like clarification if this "tenotomized biceps as well as labral fraying shaved back" would fall into 29823, due to in Glenohumeral joint / Subacromial space or just 29822 & 29826 (which includes the 29822). Note: that a 23430 was also done so would not be a scope tenotomy (29999). Plan...
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    Wiki Comparison x-ray

    We use V71.89, for the compar. X-ray
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    Wiki scope tenotomy

    I know there is a alot of questions regarding this procedure, which is why I seem to be so confused. Just because the Dr states in the "Procedures Performed" that a Biceps tentomy was performed, does not mean we automatically code a 29999, In this case: "Diagnositc genohumeral arthroscopy with...
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    Wiki Carpectomy 25210

    Thank you so much Mary, you are a Great help !! Brenda M
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    Wiki Carpectomy 25210

    Which is it? 1x OR times (3x)the number of bones removed? Sorry 2 part question
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    Wiki Carpectomy 25210

    If more then "1 bone" and not "All Bones"- 25215 were excised. Just the Lunate, Triquatrum & a majority of the body of navicular. Would we just use this 25210 1x or for each bone removed? Thank You in Advance for any help to this issue Brenda M, CPC
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    Wiki scope tenotomy/debride-convert open

    Thank you so much, Mary and Congrads on passing the COSC in Nov 08, I have been following your advise on several threads, very informative, I am also planning on taking my COSC in Nov 09, I am currently waiting for my Praticum to arrive, just so that I know I am ready, plus they changed the...
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    Wiki scope tenotomy/debride-convert open

    I know that a scope tenotomy is a 29999 code, but then this retracted into the bicipital groove and we debride the stump near the superior labrum and then converted to an open 23430. I know that I can only bill the open, on a convert, but do you think I could get a 29822 debridement or possible...
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    Wiki In patient at Treatment Center, seen as Outpatient Clinic

    We have seen a patient, that is currently and a inpatient hospital treatment center for addiction and he visited out Orthopedic clinic, as an outpatient. Must have day passes? How would we bill this visit and Xrays to Medicare? Brenda M, CPC Brainerd, MN
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    Wiki repair of flexor muscle fascia?

    Oh my gosh, thank you so much for your help...I did not even think about the 20103, sometimes we just get our mind set in 1 path and have a hard time thinking outside of that...20103 fits perfectly...Thanks again for your help Brenda, CPC
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    Wiki repair of flexor muscle fascia?

    Without a Fx code,-- deeply lacerated open wound, there was a repair of the muscle fascia and I&D for metallic debris. Wondering if only the 13121 code would be allowed, cuz it includes the I&D, or could I code the 25260 & the 11043? Brenda M
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