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Orthopedic Coding Alert

Telehealth:
Use This Guide to Keep Up With Changing Telehealth Guidelines
Here's how telehealth and other virtual services differ. Changes to coding and policy are... Read more
Virtual Services:
Get Real Virtual Check-In Results With These Codes
Remember to use the proper modifiers, when necessary. As evidenced by the cover story in... Read more
ICD-10 Coding:
Prevent Coding Disconnect With Targeted Hip Dislocation Dx
Here's why dislocation status is vital. When you are coding claims for patients who need... Read more
You Be the Coder:
Calcareous Deposit Removals
Question: Encounter notes indicate that the provider treated a patient with calcareous dep... Read more
Reader Question:
Use These Codes for COVID-19 Dx
Question: What's the latest on ICD-10 coding for patients who have COVID-19? Michigan Sub... Read more
Reader Question:
Spot Separate Services, Avoid Cutting Laceration Fix Pay
Question: I am coding for a complex laceration repair with possible additional servic... Read more
Reader Question:
Use Modifier to Separate E/M, Aspiration
Question: An established patient reports with right knee and thigh pain. During an ev... Read more
Surgery:
Keep Hip Dislocation Repair Coding Connected With Op Notes
If you can't I.D. type of dislocation, you can't I.D. repair. Patients who suffer hip dis... Read more
Clip and Save:
Follow This Advice to Proper Hip Dislocation Dx
Look to these code sets for patients suffering hip dislocations. A hip dislocation repair... Read more
Modifiers:
Gain Universal Knowledge of Bilateral Modifier With This Quick Q&A
If code indicates bilaterality, leave modifier 50 off the claim. If the provider perform... Read more
Reader Question:
Keep Calm, Carry on in COVID-19 Age
Question: We're a little on edge about the 2019 novel coronavirus in the office. We're was... Read more
Reader Question:
Get Knowledge for Successful Walldius Arthroscopy
Question: After an evaluation and management (E/M) service for an established patient, the... Read more
Reader Question:
Chart Charcot Joint’s Via Anatomy
Question: I have an operative report in front of me with a puzzling diagnosis. The encount... Read more
You Be the Coder:
‘Buddy Taping’ and Fracture Repair
Question: The provider performed in-office closed treatment on a patient's carpometacarpal... Read more
2021 E/M Coding:
Put Time on Your Side With These 2021 Coding Tips
Count the minutes to decide on E/M level. In the sphere of in-office evaluation and manag... Read more
Clinical Coding Corner:
Check Out This Time-Based E/M Example
The 2021 rule changes could mean different coding for certain scenarios. There's bound t... Read more
Fracture Care:
Check for Presurgical E/M on Fractures
There are 2 E/M modifiers to choose from depending on global. When your orthopedic surge... Read more
Reader Question:
Get Providers on Proper Page for ICD-10 Codes
Question: We have one physician who reports every sign and symptom that the patient presen... Read more
Reader Question:
Get NOPP Right, or Payers Might Say N.O.P.E.
Question: When we are coding for evaluation and management (E/M) services, what role does ... Read more
Reader Question:
Use These Pointers for Sharp ePHI Security
Question: Our office wants to use electronic faxing for medical records, and we want to kn... Read more
You Be the Coder:
‘Buddy Taping’ and Code Selection
Question:  A new patient reports to the orthopedist with a closed fracture to the sec... Read more
Featured Condition:
Plantar Fasciitis: Get Off on Right Foot When Coding for Plantar Fasciitis
Remember, surgery is a last option. Patients reporting to the orthopedist with symptoms o... Read more
Case Study Corner:
Check Out These Emergency Debridement Scenarios
Remember to pay attention to NCCI on multiple debridements. Patients that need emergency ... Read more
Q&A:
Max Out Incident-To Pay The Right Way — While You Still Can
Remember, the end of 2020 might also be the end of incident-to. Uncertainty swirls about ... Read more
Reader Question:
Documentation Strengthens Unlisted Procedure Claims
Question: It seems whenever our practice reports a service using an unlisted procedure CPT... Read more
Reader Question:
Tighten Up Loose Body in Joint Dx
Question: Our provider recently submitted a claim with a final diagnosis of loose body in ... Read more
Reader Question:
Rack Up Coding Success on Rib Repairs
Question: How should we report rib fracture repairs? New York Subscriber Answer: For so ... Read more
You Be the Coder:
Reporting Ankle Injury Services
Question: A new patient reports to the orthopedist with a badly bruised left ankle. After ... Read more
Injection Coding:
Use This Primer to Back Up Epidural Coding Smarts
Shots for back issues are broken into different groups. At times, patients with spinal co... Read more
Case Study Corner:
Study Scenarios to Sharpen Disc Decompression, Discography Coding
Tip: Decompressions can include 2 codes. In past issues of Orthopedic Coding Alert, we've... Read more
News You Can Use:
Incident-to Be or not to Be?
MedPAC looking into new NP/PA policy. Many orthopedic practices have used "incident-to" b... Read more
Reader Question:
Check for Dx Secondary to Acute Osteomyelitis
Question: An established patient suffering from acute osteomyelitis in his right shoulder ... Read more
Reader Question:
Remember Modifiers for Multiple Phalangeal Base Resections
Question: After a level-three evaluation and management (E/M) service for an established p... Read more
Reader Question:
Remember Add-ons Aren’t Primary Codes
Question: What does the plus symbol in front of some evaluation and management (E/M) ... Read more
You Be the Coder:
Go Deep for Knee Arthrotomy Details
Question: Encounter notes indicate that the orthopedist performed a knee arthrotomy. How s... Read more