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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.

    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 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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    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 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 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

    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 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

    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

    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?

    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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