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Orthopedic Coding Alert

Stay Current With Partial, Total Hip Replacement Coding Rules
Use this code when the procedure includes femoral stem, neck only. High-dollar surgeries ... Read more
Clip & Save:
Use Evidence of Prior Tx, Proper Dx to Cement Hip Replacements
Some payers want to see what you've done before opting for 27125, 27130. Coders that are ... Read more
E/M Coding:
Keep New/Established Patients Straight With This Refresher
Remember, it's not just the 3-year rule you need to apply. There is a myth in the coding ... Read more
You Be the Coder:
Debridements and Fracture Treatment
Question: The orthopedic surgeon is treating a patient with an open transverse radial shaf... Read more
Reader Question:
Discern Diagnostic From Surgical on ACL Procedures
Question: Operative notes indicate that the surgeon performed a level-four inpatient offic... Read more
Reader Question:
Remember Separate Code for Wrist Arthroscopy
Question: Notes indicate that the orthopedist performed an arthroplasty on a patient's spr... Read more
Reader Question:
Get Percentages Right on Acromioclavicular Dislocations
Question: Notes indicate that the orthopedist performed a level-three evaluation and manag... Read more
Reader Question:
Avoid Billing Workers’ Comp for Non-Work E/M
Question:  A 66-year-old Medicare patient came into our office after injuring an arm ... Read more
2019 Fee Schedule:
CMS Sets Sights on Reducing Provider Paperwork
‘Patients over Paperwork' takes it up a notch this year. In 2017, CMS started its “Pa... Read more
E/M Q&A:
Optimize Coding With ED, Office E/M Smarts
Scouring the claim to see if ED E/M patient is new or established? Don't bother. Filing e... Read more
Study Coding:
Remember Latency Length, and You’ll Be OK on EPs
Master evoked potential base codes, then move on to specifics. Patients presenting for an... Read more
Reader Question:
Keep I&Ds;, FBRs Separate
Question: What is the difference between an incision and drainage (I&D) and a foreign ... Read more
Reader Question:
Don’t Get Caught Off-Guard by Spontaneous Dislocations
Question: What is a spontaneous hip dislocation, and how do you code surgeries for th... Read more
Reader Question:
Keep Updated on New Codes Each Year
Question: After a level-three evaluation and management (E/M) service for a new patie... Read more
Reader Question:
Keep Office, Inpatient Consult Rules Straight
Question: What is the difference between an office consultation and an inpatient consultat... Read more
You Be the Coder:
Try Coding This E/M, X-ray, Rib Fix Scenario
Question:  An established patient reports to the orthopedist complaining of severe ri... Read more