decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 8 (August)
Ask Margie
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Article Overview
This Ask Margie article discusses two practical medical coding topics: arthroscopic shoulder remplissage for a Hill-Sachs lesion and billing guidance for multiple tenotomy procedures. It is relevant to coders, billers, and reimbursement staff working with orthopedic surgery, especially when evaluating unlisted procedures, shoulder instability repair, and Medicare reporting limits for a hip flexor tenotomy code. The article also points readers to supporting specialty resources and carrier communication considerations.
Why This Topic Matters
Orthopedic procedures can involve services that are not clearly represented by a single standard code, and this article helps readers recognize when an unlisted code is being discussed. It also covers a separate billing scenario where frequency limits and modifiers affect how a procedure may be reported.
Article Sections
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Coding remplissage of Hill-Sachs
Discusses an arthroscopic shoulder stabilization topic involving a Hill-Sachs lesion and the coding question surrounding an unlisted procedure. It also references related arthroscopic shoulder services and supporting resources.
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Coding multiple tenotomies
Addresses a billing question about reporting multiple hip flexor tenotomy procedures in a single session. It includes discussion of laterality and a Medicare edit affecting reporting frequency.
What You Will Learn
- How the article frames coding questions for an arthroscopic shoulder remplissage procedure
- When an unlisted procedure code is discussed in connection with shoulder instability surgery
- How the article approaches billing limits for multiple tenotomy services
- Which modifiers and payer-related concepts are mentioned in the multiple tenotomy discussion
Who Should Read This
- Medical coders
- Medical billers
- Orthopedic surgery coding staff
- Revenue cycle staff
- Practice managers
- Compliance staff
Codes Discussed
Modifiers Discussed
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