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News and Important InformationRT and LT Modifier Usage Change (effective 2019-03-01) ImagesCode SetsSurgical CPT CodesCPT Codes for Surgical Procedures on the Musculoskeletal System Musculoskeletal ICD-10-CM CodesICD-10-CM Codes for Diseases of the musculoskeletal system and connective tissue Find-A-Code's Tools & ResourcesClick-A-Dex™Click-A-Dex™ Index Search Tool Build-A-CodeStep-by-step coding from all major code sets. NCCI Edits ValidatorValidate using NCCI edits for errors in code selection. Pro-Fee CalculatorVerify Professional Fees for reimbursement. Commercial Payer PoliciesView Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations. Find-A-NPI™Find-A-NPI™ Fast Provider Lookup Orthopedics ArticlesClick the article title to view a summary and link to the full article. Medical ID TheftAugust 16th, 2019 | Published August 16th, 2019 - Last Review/Update August 20th, 2019 Medical ID Theft
"So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ... The OIG Work Plan: What Is It and Why Should I Care?August 9th, 2019 | Published August 9th, 2019 - Last Review/Update August 14th, 2019 The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ... 5 Ways to Minimize HIPAA LiabilitiesJuly 12th, 2019 | Published July 12th, 2019 - Last Review/Update July 30th, 2019 Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability.
Take ... How to Properly Report Monitoring Patients Taking Blood-thinning MedicationsJune 18th, 2019 | Published June 18th, 2019 - Last Review/Update June 19th, 2019 Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services. RT and LT Modifier Usage Change (effective 2019-03-01)May 21st, 2019 | Published May 21st, 2019 According to Noridian Medicare, there are new changes required when reporting the RT and LT modifier(s). In the past, it was appropriate to bill the RT and LT modifier on the same line when it was required for certain HCPCS codes. Noridian released a publication stating claims reported with RT/LT on the same ... Q/A: If Orthopedic Tests are Negative, do You List Them in Your Treatment Notes?May 6th, 2019 | Published May 6th, 2019 Question: If orthopedic tests are negative, do you need to still list them in your treatment notes?
Answer: Yes. Any tests which are performed by a healthcare provider, regardless of the result, should be documented in the patient record. This record is the only way that a reviewer or another provider ... How to Report Imaging (X-Rays) of the ThumbMarch 18th, 2019 | Published March 18th, 2019 If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ... Nine New Codes for Fine Needle Aspirations (FNA) in 2019January 4th, 2019 | Published January 4th, 2019 If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ... Wolters Kluwer Drug PricingOctober 17th, 2018 | Published October 17th, 2018 Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average... Q/A: How Do I Release a Patient from PI When They Still Have Problems?August 10th, 2018 | Published August 10th, 2018 - Last Review/Update January 28th, 2019 Once a PI patient is released with symptoms, or without symptoms, and a prognosis of likely exacerbations with a future medical estimation of $1500 over then next 2 years, how am I supposed to release them from care when they still have ongoing needs?
We have discussed this with several different experts. The consensus is.... Coding for Strains in ICD 10May 30th, 2018 | Published May 30th, 2018 - Last Review/Update June 4th, 2018 According to the National Institutes of Health, a review was carried out on 20 patients who had a pectoralis major muscle repair between 2003 and 2011, and the results were as follows.... TKAs to Outpatient What We Have Learned with Q1May 14th, 2018 | Published May 14th, 2018 - Last Review/Update May 24th, 2018 The release of the 2018 Final Rule for the Outpatient Prospective Payment System (OPPS) in November 2017 has created quite a stir across the orthopedic healthcare community. In what has been deemed a questionable decision, the Centers for Medicare and Medicaid Services (CMS) decided to remove Total Knee Arthroplasty... Documentation for Manual WheelchairsMarch 8th, 2018 | Published March 8th, 2018 - Last Review/Update March 15th, 2018 The Medicare Learning network provides guidance on how to prevent denials for Manual Wheelchair Bases.... Diagnosis Codes Used With : Vertebroplasty, Vertebral Augmentation and Computed TomographyFebruary 1st, 2018 | Published February 1st, 2018 Per CGS Administrators LCD L34048 the following codes are the ICD-10-CM Cdes that support Medical Necessity: (Be sure to verify with your local payer)
Stand Alone ICD-10 codes
M80.08XA
M80.88XA
M80.88XG
Primary Diagnosis Codes
M48.51XA
M48.52XA
M48.53XA
M48.54XA
M48.55XA
M48.56XA
M48.57XA
M48.58XA
M84.68XA
Secondary Diagnosis Codes
One of the following diagnosis codes must be reported with one of the codes above in group 2.Combination coding of the primary diagnosis(group 2) of pathologic fracture ... Should ROM Testing be Reported with Evaluation and Management Services?January 9th, 2018 | Published January 9th, 2018 Reporting the performance of range of motion testing (95851-95852) at the same encounter of an Evaluation and Management (EM) service, produces an NCCI edit resulting in payment for the EM service and denial of the ROM testing. Read the article to learn what other codes ROM testing is considered incidental to. There are more articles. View all articles... View articles for the current specialty by subtopic: Orthopedics TipsAccess to this feature is available in the following products:
Click here to Sign In to your account. Orthopedics WebinarsClick the webinar title to view a summary and link to the webinar video. E-M and the Organ Systems (Part 1)February 21st, 2019 E-M and the Organ Systems (Part 1) Anatomy of the Ankle and Common InjuriesJanuary 14th, 2019 Join Brandon Leavitt as we master the anatomy of the foot and ankle and common diseases and injuries which are found with this joint. We will also cover how these terms are described in ICD-10-CM. Coding and Auditing for Upper Extremity ProceduresJanuary 14th, 2019 In this webinar, Aimee will review coding and auditing information for procedures commonly performed on the upper extremities and how to locate vital information that could help prevent coding errors and reduce risk in case of an audit. Joints: Rotator Cuff, Elbow, Wrist, and HandJanuary 14th, 2019 In this webinar, Brandon will review the bones and major joints of the upper extremities (arm, forearm, wrist, hand, and digits), as well as their supporting structures and how they are affected by injury, disease, and other conditions. Anatomy and Diagnostic Coding for Wound CareJanuary 14th, 2019 In this webinar, Brandon Leavitt will review the anatomy of wounds from injury, disease, and other conditions and the proper ICD-10-CM coding for them. A review of pressure and non-pressure, and venous stasis ulcers, burns, corrosions, neoplasms, and other diseases affecting the integument will be presented. Coding and Auditing Wound CareJanuary 14th, 2019 In this webinar, Aimee will review wound care coding and auditing information for wound care services, including proper modifier use, NCCI edits, Medicare coverage guidelines, and documentation requirements. Radiology Coding Auditing Dexa Scans for Osteoporosis & Mammograms for the BreastJanuary 14th, 2019 Learn important coding tips when billing Dexa scans (for osteoporosis) and mammograms (for breast diseases). Coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN will all find useful information for their practice. This is a follow-up from the webinar "Diagnosis of osteoporosis and diseases of the breast". Diagnosis of Osteoporosis and Diseases of the BreastJanuary 14th, 2019 Osteoporosis diagnosis and breast diseases will be covered in this webinar, benefiting coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN. This will prepare participators for the following Find-A-Code webinar on radiology coding, which will explain coding/billing for Dexa scans to detect osteoporosis, and mammogram screening for breast evaluation. All About Knee Coding & AuditingJanuary 14th, 2019 Total knee replacement now acceptable ASC procedure also, not auditing for a year.
Knee replacement coding, knee joint injections, auditing using FAC, LCDs, drugs, modifiers. Anatomy of the KneeJanuary 14th, 2019 Coders and billers in orthopedic practices must
understand the knee extensively. Join Dee to
master the anatomy of the knee joint, and
understand how it applies to ICD-10-CM
diagnosis coding. Proper Coding and Billing for Drugs, Biologicals and InjectionsJanuary 15th, 2019 Proper Coding and Billing for Drugs, Biologicals and Injections How to Check NCCI Edits Using FindACodeJanuary 15th, 2019 How to Check NCCI Edits Using FindACode ICD-10-CM Training - Session 08January 21st, 2019 ICD-10-CM Training - Session 08 ICD-10-CM Training - Session 07January 21st, 2019 ICD-10-CM Training - Session 07 ICD-10-CM Training - Session 06January 21st, 2019 ICD-10-CM Training - Session 06 ICD-10-CM Training - Session 05January 21st, 2019 ICD-10-CM Training - Session 05 ICD-10-CM Training - Session 36January 22nd, 2019 ICD-10-CM Training - Session 36 ICD-10-CM Training - Session 35January 22nd, 2019 ICD-10-CM Training - Session 35 ICD-10-CM Training - Session 34January 22nd, 2019 ICD-10-CM Training - Session 34 ICD-10-CM Training - Session 33January 22nd, 2019 ICD-10-CM Training - Session 33 ICD-10-CM Training - Session 04January 21st, 2019 ICD-10-CM Training - Session 04 ICD-10-CM Training - Session 32January 22nd, 2019 ICD-10-CM Training - Session 32 ICD-10-CM Training - Session 31January 22nd, 2019 ICD-10-CM Training - Session 31 ICD-10-CM Training - Session 03January 21st, 2019 ICD-10-CM Training - Session 03 ICD-10-CM Training - Session 02January 21st, 2019 ICD-10-CM Training - Session 02 ICD-10-CM Training - Session 30January 22nd, 2019 ICD-10-CM Training - Session 30 ICD-10-CM Training - Session 29January 22nd, 2019 ICD-10-CM Training - Session 29 ICD-10-CM Training - Session 28January 22nd, 2019 ICD-10-CM Training - Session 28 ICD-10-CM Training - Session 27January 22nd, 2019 ICD-10-CM Training - Session 27 ICD-10-CM Training - Session 01January 21st, 2019 ICD-10-CM Training - Session 01 ICD-10-CM Training - Session 26January 21st, 2019 ICD-10-CM Training - Session 26 ICD-10-CM Training - Session 25January 21st, 2019 ICD-10-CM Training - Session 25 ICD-10-CM Training - Session 24January 21st, 2019 ICD-10-CM Training - Session 24 ICD-10-CM Training - Session 23January 21st, 2019 ICD-10-CM Training - Session 23 ICD-10-CM Training - Session 22January 21st, 2019 ICD-10-CM Training - Session 22 ICD-10-CM Training - Session 21January 21st, 2019 ICD-10-CM Training - Session 21 ICD-10-CM Training - Session 20January 21st, 2019 ICD-10-CM Training - Session 20 ICD-10-CM Training - Session 19January 21st, 2019 ICD-10-CM Training - Session 19 ICD-10-CM Training - Session 18January 21st, 2019 ICD-10-CM Training - Session 18 ICD-10-CM Training - Session 17January 21st, 2019 ICD-10-CM Training - Session 17 ICD-10-CM Training - Session 16January 21st, 2019 ICD-10-CM Training - Session 16 ICD-10-CM Training - Session 15January 21st, 2019 ICD-10-CM Training - Session 15 ICD-10-CM Training - Session 14January 21st, 2019 ICD-10-CM Training - Session 14 ICD-10-CM Training - Session 13January 21st, 2019 ICD-10-CM Training - Session 13 ICD-10-CM Training - Session 12January 21st, 2019 ICD-10-CM Training - Session 12 ICD-10-CM Training - Session 11January 21st, 2019 ICD-10-CM Training - Session 11 ICD-10-CM Training - Session 10January 21st, 2019 ICD-10-CM Training - Session 10 ICD-10-CM Training - Session 09January 21st, 2019 ICD-10-CM Training - Session 09 There are more webinars. View all webinars... View webinars for the current specialty by subtopic: Orthopedics Resources/Links
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