Search results

  1. B

    Wiki Periprosthetic capsulectomy with tissue expander exchange to implant

    Hi everyone, I have been questioning what the correct way to code this type of surgery. Provider is doing a tissue expander exchange to implants and also doing a periprosthetic capsulectomy. I know the tissue expander exchange would be 11970 and the capsulectomy is 19371, but there is a CCI...
  2. B

    Wiki Manipulation of hip - without general anesthesia

    Hi everyone, I have a provider who is doing a manipulation of the hip but without general anesthesia. Any idea on how to code this? Procedure note: Diagnosis: Chronic right hip pain with possible subluxation or dislocation. Procedure: Manipulation of the right hip under fluoroscopic guidance...
  3. B

    Wiki 4th and 5th Interpositional arthroplasty

    Hi everyone, I am stuck on a surgery. Hoping someone can help me with the coding for the interpositional arthroplasty of the 4th and 5th TMTJ. PROCEDURE: 1. Open reduction, internal fixation 5th metatarsal base fracture left foot - code 28485 2. Repair and reattachment of peroneus brevis...
  4. B

    Wiki Acid applied to callus

    Hi, I was wondering if anyone could tell me how what CPT code to use when a provider pares a callus, but then applied salicylic acid after the paring? From the note: Continue ammonium lactate, use twice daily Debridement of hyperkeratotic tissue sub 5th metatarsal head, right foot without...
  5. B

    Wiki Metacarpal bossing

    I need some guidance with the following op note. Doc is saying he did an osteotomy of the right 3rd metacarpal. But to me it does not sound like it. I even asked him, he replied: It was a metacarpal and I used a mallet and an osteotome to make my cuts. I had to excise the periosteum with the...
  6. B

    Wiki NCS Help

    Hello, I am new to EMG coding. I am struggling with Nerve conduction studies counting. Would this count as 7 studies or 6? Any help and guidance would very much be appreciated. SNC Left Sural (Lat Mall) Right Sural (Lat Mall) MNC Left Peroneal-EDB Right Peroneal - EDB Ankle and B Fib...
  7. B

    Wiki Help with fracture coding

    Hi everyone! I have a podiatrist that is trying to bill fracture care for a patient but the xray and bone scan are not showing any fractures. X-ray Foot Left 2 Views Narrative: Lateral calcaneal axial the left heel. Bone spur present on the inferior heel. No change from prior exam. No evidence...
  8. B

    Wiki Excision of Achilles tendon

    Hi everyone, I am looking for a code for the excision of the Achilles tendon, it was not repaired. Also the plantaris tendon was also excised. Not sure if it would be an unlisted code. Attention was directed to the left posterior leg where there is an open wound with exposed Achilles tendon...
  9. B

    Wiki Help with angiograms

    Hello, I am new to coding angiograms and would like some help with the following report: Patient is a 20 y.o. male who underwent maxillofacial surgery today. Postprocedure significant oral bleeding was noted. Oromaxillofacial surgery team reached out to us for embolization. Patient at this...
  10. B

    Wiki Wound vac with a tka

    I have a surgeon who has begun placing wound vacs on some of his tka surgeries. Can I bill 27447 with 97605? Some of my coworkers say no and some say yes. Please help.
  11. B

    Wiki Mandibular Fractures

    Please help, I need help in coding the surgery for the fracture repair. DX: 1. left mandibular angle fracture - S02.652A 2. right parasymphysis mandibular fracture - S02.69XA Procedures: 1. Open reduction internal fixation of left mandibular angle fracture - CPT code 21470 2. Open reduction...
  12. B

    Wiki implant exchange

    I am trying to code the following op note: Op performed: implant exchange of the right breast capsulotomy and fat grafting. Technique: there was a 325ml saline implant, electrocautery was used to perform a capsulotomy, the rest of the capsule opened. A 555cc implant was chosen, placed in the...
  13. B

    Wiki Fat graft

    Help Please. I am new to coding Plastic Surgery and I need help. A few of the op notes state that the surgeon did a fat grafting to the breast, so the surgeon performed liposuction on the patient and then injected that fat once cleaned into the patient breasts. Does anyone know how to code this...
  14. B

    Wiki Coding for plastic surgery

    Hello, I am looking for help in coding services for plastic surgery. Especially with coding the fat grafting to the breast. Can anyone help me?
Top