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User id : 74622 on "Sclerosing IMS injection third intermetatarsal space"

Hello, Our physician did this sclerosing injection into the third intermetatarsal space dorsal approach. This will be a series of 3 injections. He w

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SuperCoder on "G0289"

Thanks for your question !! Yes, you can report G0289 with modifier 59 for loose body removal from separate compartment with 29881. Thanks !!

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SuperCoder on "Arthroscopic anterior- inferior labral reapair"

You should use 29806- "Arthroscopy, shoulder, surgical; capsulorrhaphy ". Injury to anterior-inferior labrum is known as Bankart's lesion. A Bankart

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SuperCoder on "Sclerosing IMS injection third intermetatarsal space"

Thanks for your question. 64632 is the correct choice of code to be used for destruction of neuroma in third intermetatarsal space using sclerosing, o

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User id : 28709 on ""distinct procedure""

Hello, This is my question: We billed 29827 Lt and 29806 59. 29806 59 was denied by UH stating this is not a distinct procedure. If I correct to 29806

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SuperCoder on ""distinct procedure""

Thanks for your question. Adding LT modifier will not impact the reimbursement. As per CCI edit, 29806 is included in 29827. However, one can append m

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User id : 23481 on "nerve block with fracture reduction"

Can a nerve block (64450) be reported separately when performed at the time of a fracture reduction (26605) done in the office?

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SuperCoder on "nerve block with fracture reduction"

As per CCI edit, 64450 is included in 26605. However, one can append modifier 59 to overrule the bundling if the provider has performed distinct proce

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User id : 34685 on "Billing application of prefabricated wrsit splint and...

Our hand surgeon gives out to his patients prifabricated wrist splints. Is billing the application of splint code and the splint itself correct? Examp

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User id : 22979 on "BILLING XRAYS WITH E&M CODES"

IS THE PROFESSIONAL COMPONENT OF AN XRAYS AUTOMATICALLY INCLUDED IN THE OFFICE VISIT? WE ARE BILLING GLOBAL XRAY CODES AND SOME INSURANCE COMPANIES AR

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User id : 33396 on "Status post ACL"

How would I code the following: DIAGNOSIS: 1.Superficial draining, stitch abscess, right knee tibial incision. 2.No evidence of deep infection, no evi

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User id : 33396 on "Toe Procedure"

How would I code the following: DIAGNOSIS: 1.Left great toe hallux varus deformity. 2.Dislocated fifth toe PIP joint. PROCEDURE: 1.Left great toe tr

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SuperCoder on "BILLING XRAYS WITH E&M CODES"

Physician performance of diagnostic tests/studies for which specific CPT codes are available may be reported separately, in addition to the appropriat

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SuperCoder on "Status post ACL"

You should use code 10180 appended with 78 modifier. ICD-9 code would be 998.59 - Other postoperative infection. 10180 represents "Incision and draina

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SuperCoder on "Billing application of prefabricated wrsit splint and splint...

Application of splint is considered as included in surgery codes while payment for splint is reimbursable. You may bill the appropriate HCPCS code for

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SuperCoder on "Toe Procedure"

DIAGNOSIS: 1.Left great toe hallux varus deformity.735.1 2.Dislocated fifth toe PIP joint. 838.06 1.Left great toe transfer of half of the extensor ha

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User id : 29720 on "Biceps Tenolysis"

Boss did Labral repair and Biceps Tenolysis. I cannot find a CPT code for the Tenolysis. I showed him the book, whick suggests 29828 (Biceps tenodesis

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User id : 72924 on "stem cell injections"

joint injections/cpt code?/or HCPCS? Does Medicare pay for these inj.?

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User id : 34685 on "Billing application of prefabricated wrsit splint and...

Thank you for that clarification. How about if there was no surgery and there is no surgery global period, just a regular office visit? Would the appl

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SuperCoder on "Billing application of prefabricated wrsit splint and splint...

If there was no surgery and there is no surgery global period, just a regular office visit - Then the answer is you can bill splint application code.

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