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Latest articles

PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
May 25th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
If you're looking for ankle fractures in ICD-10-PCS, you may need to look a little deeper. Let's take a look at coding an ankle fracture such as a trimalleolar fracture. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle ...
Intersegmental Traction — What’s Happening with Roller Tables?
May 20th, 2021 - Wyn Staheli, Director of Research
Intersegmental traction therapy via the use of roller tables has been used by doctors of chiropractic for many years. Recently, questions have arisen regarding the appropriate billing of roller tables. This is largely due to the statement published in the July 2020 CPT Assistant published by the American Medical Association (AMA). Which code should you really be using?
Comparison of Add-On Code Guidelines
May 4th, 2021 - Wyn Staheli, Director of Research
Add-on codes are codes that are not intended to be reported alone. They are reported with another primary procedure to identify that additional services have been provided in conjunction with that primary procedure. Generally, they include the words “List separately in addition to code.” Interestingly, there are some differences in the instructions/guidelines regarding the use of these codes in the CPT® codebook, the NCCI Policy Manual, and on the CMS website. This article outlines the differences between each of these.
Coding Lesions and Soft Tissue Excisions
April 29th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
There are several considerations to be aware of before assigning a code for lesions and soft tissue excisions. The code selection will be determined upon the following: Check the pathology reports, if any, to confirm Morphology (whether the neoplasm is benign, in-situ, malignant, or uncertain) Technique Topography (anatomic location) The size Tissue Level Type of closure required Layers ...
58% of Improper Payments due to Medical Necessity for Ventilators
April 29th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Proper documentation not only protects the provider, the payer, and the patient, it protects the integrity of the entire healthcare system. When it comes to coverage and documentation for durable medical, the DMEPOS supplier and staff must be familiar with the National and Local Coverage Determinations (NCDs and LCDs) as these are ...

Editors choice articles

PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
May 25th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Coding Lesions and Soft Tissue Excisions
April 29th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
COVID-19 Vaccines
March 10th, 2021 - Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
Not Following the Rules Costs Chiropractor $5 Million
September 1st, 2020 - Wyn Staheli, Director of Research
Is COVID-19 Causing Risk Adjustment “Gotcha’s”?
August 27th, 2020 - Wyn Staheli, Director of Research

Latest questions/posts

ER/Hospitalist Professional Visits
1st    Jun 4th, 2021 - Dawna 1 

GA GY necessary on therapies not covered by Medicare?
1st    May 25th, 2021 - TammyC

97140 or 97124 and What Modifier?
1st    May 19th, 2021 - Anj 1 

Hello Everyone
1st    Apr 9th, 2021 - evopryseo 3 

chiropractic body region question
1st    Mar 15th, 2021 - GregoryH

biopsy of a perianal lesion/malignancy.
1st    Mar 10th, 2021 - btalley

Cardiothoracic Coders
   Feb 8th, 2021 - rdinaso    12  1 

water massage table
1st    Jan 27th, 2021 - KayC

Code G8730 rejection
1st    Jan 20th, 2021 - LEEs

Combination Codes
1st    Jan 7th, 2021 - BeckyR

Insurance Rejections For Medical Necessity - Can 2nd insurance be billed?
   Dec 29th, 2020 - sharris

If you know a procedure will be denied as cosmetic can an E/M be charged instead?
   Dec 1st, 2020 - sschwartz 4 

Elongated Toenails
   Nov 23rd, 2020 - sharris

Does National CPT Tracking exist?
1st    Nov 12th, 2020 - ShawnV

Bought out an Existing Practice
1st    Nov 5th, 2020 - SBerg

Nail Debridement vs Nail Trimming
   Nov 5th, 2020 - sharris

AT modifier use for spinal manipulation services
   Nov 2nd, 2020 - JBrooks 1 

GA modifier
1st    Sep 30th, 2020 - ACC

97110, 97530, 97012
1st    Sep 24th, 2020 - ChiroCasey

Manipulation Therapy & Habilitative/Rehabilitative Services
1st    Sep 22nd, 2020 - Coding&Thriving

99204
1st    Sep 18th, 2020 - smattiko

G-Codes
1st    Sep 8th, 2020 - MKramer

posterlateral fusion with inpatient stay
1st    Sep 4th, 2020 - Rambis

G0481
   Sep 3rd, 2020 - EXECD

Two modifiers
1st    Aug 21st, 2020 - sunshine1991

peer to peer
   Aug 13th, 2020 - trixiecane   

Open Thoracotomy
   Jul 13th, 2020 - rhblevins

99201, 99211 coding
1st    Jul 8th, 2020 - Coder132 1 

cpt 77002 professional componet with cpt 20610, who charges?
   Jul 2nd, 2020 - sschwartz 4 

ICD 10 code for displacement of cholecystostomy tube
   May 15th, 2020 - Susan


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