E/M Coding Alert - 2013 Issue 2
Reader Question: Codes 28725 and 38220 Can Be Reported Together -- But Not Re-injection
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Article Overview
This reader question and answer discusses a podiatry coding scenario involving subtalar arthrodesis and bone marrow aspiration with subsequent processing and placement at the fusion site. It is intended for coders and billers who need help understanding how bundled and separately reportable services are handled in a surgical case. The article focuses on general coding guidance for these services and explains why one part of the workflow is not separately reported.
Why This Topic Matters
It helps coders evaluate whether multiple procedures in a single operative episode should be reported separately or considered included, which affects claim accuracy and compliance.
What You Will Learn
- How a subtalar arthrodesis case is discussed from a coding perspective
- How bone marrow aspiration is treated in relation to the operative service
- How procedure placement or application is addressed in the context of reporting
- How to identify which parts of a multi-step procedure are separately reportable versus included
Who Should Read This
- Medical coders
- Podiatry billers
- Orthopedic coding staff
- Revenue cycle professionals
Codes Discussed
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