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Orthopedic Coding Alert

Reader Question:

Don’t Get Torticollis Coding Twisted

Question: After a level-four evaluation and management (E/M) service during which the orthopedist diagnoses torticollis in a new patient, a surgery is scheduled. Notes indicate that the orthopedist performed “open div/sternocleido­mastoid” during the surgical encounter. How should I report these services, and what is torticollis? Tennessee Subscriber Answer: There are two procedure codes to choose from, depending on the specifics [...]