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    Wiki Percutaneous tenotomy, gluteus medius and minimus

    Hi, I have a provider who is doing a percutaneous tenotomy of the gluteus medius and minimus. I know this will have to be an unlisted code. Does anyone know of a good comparison code for this procedure?
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    Wiki Modifier 51

    Hi all - I have a question regarding appending modifier 51 to CPT codes. I was told that it is appended to CPT codes based on work RVU's, however, I have recently read that it is based on total RVU's. Does anyone know which is correct? TIA.
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    Wiki Arthroscopic capsular release of shoulder

    Hi, need help with an arthroscopic capsular release of the shoulder. Would this be coded with 29822/29823?
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    Wiki Diagnosis coding for hospitalists

    Hi, I'm really hoping someone can give me some insight into diagnosis coding for hospitalists. I am new to auditing. My specialty is orthopedics, but my director has me auditing a Hospitalist coder. I am noticing that she is not coding all of the diagnoses under the Assessment and Plan. For...
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    Wiki Supercharged end-to-end nerve transfer

    Recently my hand surgeon has been performing supercharged end-to-end nerve transfers. This is new to me. Can anyone offer any insight into this procedure and the correct CPT codes? TIA
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    Wiki CPT code for supercharged end-to-side anterior interosseous nerve transfer

    Hi, Does anyone know of a CPT code for - supercharged end-to-side anterior interosseous nerve transfer? TIA Kris
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    Wiki Removal of foreign body in bone of hand

    Hi all, Looking for a CPT code for - Removal of foreign body in bone of hand - Surgeon wants to use 20680, but I do not think that is correct. After Eshmarch exsanguination, the pneumo-tourniquet was inflated to 250 milimeters of mercury about the upper arm. 　A 1 cm. incision was fashioned...
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    Wiki Need comparison code for labral reconstruction of the hip

    Hi - I am wondering if anyone on here knows the comparison code for labral reconstruction of the hip. TIA!
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    Wiki Provider wants to bill 26952 and 11044

    Hi, I am having issues with a provider insisting on billing 11044 with 26952. He says because it was a traumatic partial amputation of the right index finger, that he can bill for the debridement with a modifier 59. My supervisor has asked me to do some research to present to this provider as...
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    Wiki femoral nail removal with revision one component total knee

    Hi, I'm really hoping someone one here has seen this situation before. The patient has a retained femoral nail that needs to be removed in order to have a total hip replacement. One surgeon took her to the OR, but could not remove the nail via the hip. Another surgeon took her to the OR to...
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    Wiki 27422 versus 27427

    27422 versus 27427 Hi - I am wondering how to tell the difference between these two codes. I have found different tips, such as if the incision is anteromedial, the use 27422, but if the incision is at the distal IT band, to use 27427. However, most of my providers do not distinctly say...
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    Wiki Proximal humeral malunion/nonunion

    Hi all - Recently I have come along a couple of situations where the provider is taking a patient to surgery for a hemi-arthroplasty due to malunion or nonunion. Provider wants to bill 23616, however, this is for an acute fracture. The malunion/nonunion codes, 24430 and 24435, do not include a...
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    Wiki Hand surgery coding help

    Hi all, One of my hand surgeons performed the below surgery. He is using CPT codes 26480 and 26437. 1. I am unsure if these are the correct codes. 2. If they are the correct codes, would it be appropriate to unbundle them. The op report is quite lengthy. I really appreciate anyone who is...
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    Wiki Bundling issue with CPT 27829 and 27781

    Hi, We recently had an issue with a provider wanting to bill 27829 (Open treatment of distal tibiofibular joint [syndesmosis] disruption, includes internal fixation, when performed) and 27781 (Closed treatment of proximal fibula or shaft fracture; with manipulation). The codes bundle by both...
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    Wiki Ganglion cyst intra-tendonous, EDC to a finger

    Hi, need help coming up with a code for this procedure: (I'm thinking 26180?) Post-op Diagnoses: 1.　　Ganglion cyst intra-tendonous,　EDC to the middle finger 2.　　Ganglion cyst　intra-tendonous,　EDC to the index finger Procedure(s) Performed: 1.　　Excision ganglion cyst right middle finger...
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    Wiki CRPP of radial neck fracture

    Hi everyone - I need help with a comparison code for a closed reduction, percutaneous pinning of a radial neck fracture. This is a child and I have been doing some research and this is becoming a popular way of fixating these types of fracture in children. TIA!
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    Wiki Question regarding elbow dislocation

    Hi, one of the ortho surgeons I work with did a hospital consult on a patient and diagnosed patient with an elbow dislocation. He did Not reduce the dislocation, said it did not need to be reduced, but he is insisting I bill 24600 because he is "treating" her for the dislocation. Has anyone...
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    Wiki Coding help

    Hi, one of my surgeons did a left elbow closed reduction percutaneous pinning. I believe this would be coded as unlisted. Does anyone have a good comparison code? Under fluoroscopic guidance and avoiding compromised skin two 2.4 mm k-wires were inserted retrograde through the posterior...
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    Wiki Two stage decompression fasciotomy, lower leg.

    Hi all, Surgeon did a decompression fasciotomy without debridement, 27602. Two days later he went in and opened the wounds up and did debridement of nonviable muscles, nerves. Would the second stage be coded as 27894 even though the surgeon is not making any new incisions. Or would it be...
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    Wiki CPT code help - Open fixation of posterior shoulder dislocation with fixation of Lesser tuberosity fracture

    Provider performed open fixation of a posterior shoulder dislocation with fixation of a Lesser tuberosity fracture: An oblique incision was made over the anterior aspect of the patient's left shoulder in a standard deltopectoral approach to the shoulder was performed. 　Identified the biceps...
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    Wiki Coding question

    Can 27495 and 20680 be billed together? Code description for 27495 says removal of Superficial implant cannot be billed, but does not say anything about removal of deep hardware. Thank you.
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    Wiki Screw removal x 2

    I have a question regarding the below surgery. The provider removed and replaced 2 screws (20680-22). A screw was removed and replaced from the syndesmotic disruption and a screw was removed from the lateral malleolar fracture through the Same incision. Since it was two fracture, same...
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    Wiki Need help with CPT code for a shoulder surgery

    Hi - Need help with a shoulder surgery, excision of a greater tuberosity fragment for a periprosthetic fracture. Following her incisional scar I made an incision over the anterior aspect of her left shoulder performing a standard deltopectoral approach to the shoulder. I released the subacromial...
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    Wiki Need CPT code

    In need of a CPT code for open excision of a fracture fragment, greater tuberosity, shoulder.
  25. K

    Wiki CPT code

    In need of a CPT code for open excision of a fracture fragment, greater tuberosity, shoulder.
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