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    Wiki PROBLEMS WITH Q CODES FOR CASTING SUPPLIES

    Is anyone having a problem getting paid for casting supplies, the Q codes. We seem to be having problems with Anthem. Interested to see if anyone else is having problems. We are in Ohio.
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    Wiki New doc has me rethinking - HELP!

    I have a new doctor who is wanting to code for "intra-operative frozen section from biopsy" - He is doing revisions on hips and knees and he is sending the synoviums/membranes to microbiology and pathology for frozen section. - - Is this something that he can even bill for? I'm thinking this...
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    Wiki knee manipulation

    Patient has septic prepatellar bursitis. Doctor "manipulates" the knee to milk the infection out of a small opening. This is done bedside, not under anesthesia. Would this just be wrapped into the E/M service?
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    Wiki 1st time doing this procedure - looking for guidance

    Good morning. This is the 1st time I have heard of this being done by one of our physicians and I'm looking for some coding guidance, please "right shoulder needle calcification with lavage with ultrasound" I'm looking at 76942 for "ultrasonic guidance for needle placement" 20610 or 20605...
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    Wiki Seeking input on unusual case (for us)

    One of our ortho surgeons was asked to consult on a new born with a fractured humeral shaft. This is related to/result of an urgent c-section (we saw the patient the day following birth) I am wondering what E/M service code I should look to. This particular insurance does not allow for...
    • dhuttie
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki Ankle help needed

    Doc did a closed reduction for a Salter Harris II fx of the distal tibial metaphysis. I am wondering if this should be coded (dx/cpt wise) as a medial malleolus fx? 824.0 with 27762? or dx 823.80 FX Closed Unspec Part Tibia Alone with 27762? Any assistance with coding these Salter Harris...
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    Wiki Has anyone had this scenario before?

    :eek:This IS a first for me - - - "arthroscopic SAD with percutaneous fixation of greater tuberosity fragment" Not sure if I need to look to unlisted scope (29999) or code as open ORIF Greater tuberosity and add -52 for reduced services (23630-52) or unlisted "open" for shoulder (23929) - not...
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    Wiki Need a hand...with the hand

    finger laceration which lacerated the A4 pulley creating a large flap in the radial border and flipped volarly. this was trimmed back to good stable A4 pulley with some remaining distally. FDP was intact-no trauma/laceration. FDS had minor laceration of the radial slip - nothing was done for...
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    Wiki Shoulder-Scope Question

    My mind is making this more complicated than it really is - or so I'm telling myself that this case is not as difficult as I'm trying to make it be. :eek: Here's my question: Can 29819(removal LB) be billed with 29822(debridement)? Or do I just bill for removal of LB (29819) since it's the...
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    Wiki Shoulder help needed

    Dotor coded for the below codes PLUS an open Rotator Cuff Repair Doctor starts out via scope doing acromioplasty (29826) and debridement of SLAP tear (29822) - removes instruments, makes 3cm incision, palpates the rotator cuff calcification, "...used a knife to open the superficial...
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    Wiki Removal of hardware-Revisited

    Removal of superficial screws, medial malleolus (20670) and Removal of Deep plate and screws, lateral malleolus (20680) Done through separate incisions - different bones -- so can this be billed as 20680 with 20670-59? I keep looking an article that says this about a BBFF and I guess I am...
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    Wiki Bbff question

    Have a 15yo with a BBFF unstable - took to OR - Doctor is calling this a "closed reduction, internal fixation with IM rods" - a small incision is made at the proximal ulna (after visualizing under fluro). Incision taken down through skin and subcut. tissue on the bone. Small drill bit placed...
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    Wiki Conoid Ligament repair - Unlisted?

    ORIF of clavicle was done for fracture (23515) - - patient also had a Conoid Ligament Tear - Unlisted and compare to 23550? op reads: (after plating of clavicle) Subsequently, in one of the more medial holes of the plate that I had not used for the placing a bone screw, I drilled a hole and...
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    Wiki CPT help needed for Nonunion/Malunion fx

    Patient had a comminuted humeral shaft fx - 6 months later it has not healed. Doctor, in the opeartive report heading calls it a "nonunion" - but also later in the report under "findings" says there "malunion of butterfly fragment and proximal fragment". I gathered the bulk of the fx is...
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