Supercoder - Ask an Expert? Forum: Orthopedic Coding

This would be shoulder area. Open lysis of adhesions, shoulder/rotator cuff area.

Why am I being denied for 63056-50. CPT does not say NOT to bill with -50.

Happy to help!

Though there is no specific code for lysis of adhesions, open approach but we can still use CPT code 23101 (Arthrotomy, acromioclavicular joint or ste

This is correct, it cannot be billed with modifier 50. CPT 63056 can be bill once for one segment at a time. In this procedure the provider uses a tra

WHAT IS THE CPT CODE FOR TAKEDOWN POSTEROLATERAL FUSION L3-S1. The operative report indicated that the spinal canal was completely encased in bone.

What CPT codes would you use for excision copious cicatrix, lateral release, reinforcement of patellar tendon and addition of patellar button to total

Well, when complete laminectomy L3-4, L4-5, L5-S1 with foraminotomies bilaterally is performed then mass overgrowth takedown will not be billed separa

Well, the variety of CPT codes I have seen orthopedic surgeons bill for a procedure confirms that no existing codes accurately describe the surgery. S

I received a denial from an insurance company for a cast application with a 58 modifier. I appealed this decision and it was again denied saying that

Application of cast or re-application of cast is always included in the global period of the procedure. But if its a replacement due to wear and tear

Hello, I need confirmation that we are billing correctly on a patient that was re-injured during the post op period. Dos: 4-1-15 billed: 99222 57 dx 7

Well, it seems appropriate billing as per the scenario according to the guidelines.

The patient came to my Doc with a hemi of the shoulder which had failed. So my Doc took her to the OR and performed a revision of the humeral stem an

As patient had Hemiarthroplasty of shoulder and doctor converted it into a total shoulder replacement by replacing both humeral and glenosphere compon

Surgeon did a revision arthrodesis toe, IP joint. The procedure code is 28755. His op note states the Dx is Arthrodesis Nonunion. What dx code shou

Insurance carrier is denying injections 64633 & 64634 which were done during post op period of previous same injection. I added -78 is they are n

Are these codes considered experimental? I got a denial from Tricare stating they are experimental. If so can someone help as to where I can find th

As i can search, these codes are investigational/experimental. It is payers responsibility to provide the medical policies which states that these pro

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