I heard there was a revision to 37215, carotid stent with embolic protection. What is this exactly?
Author: The Coding Coach (Coding Coach)
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Claw Toe
We are having some debate about whether CPT code 28285 (hammertoe repair) would be appropriate for fusion of a claw toe? The claw toe is the DIP joint; the hammertoe is the PIP joint. However, code 28285 does not specify which interphalangeal joint is corrected. Should we report 28285 or an unlisted code?
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CPT 92547: Use of Electrodes
What happened? I used to bill 92547 - use of electrodes during electronystagmography – with 5 units and now Medicare will pay only one unit.
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Nipple Tattoo in Breast Reconstruction
Is it OK to charge the tattooing if it is done a few weeks after the nipple repair/reconstruction (19350)?
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Anterior/Posterior Spine Procedures: What Modifier Should I Use?
What modifier do you suggest I use when we do anterior/posterior spine procedures on the same patient at the same operative session on the same day? My coder thinks we should use modifier 58 (staged) but I remember you saying, at AANS coding courses, not to use modifier 58. Please help.
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Carotid Stenting and Diagnostic Angiograms
I was told that no diagnostic angiogram can be billed with a carotid stent. Is this true?
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Suture Removal
Our surgeon saw a patient in the ER for a fracture and reported the global fracture code. The ER physician had repaired a separate wound laceration at a different site prior to our surgeon arriving in the ER. The patient is now being seen in the office and the surgeon evaluated the wound area, and removed the sutures. Is this reportable? If yes, what CPT code would I use?
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Use of Acellular Dermal Matrix for Soft Tissue Reinforcement
What code can I use when I place acellular dermal matrix in a parotid defect? I’ve looked at 15777 and it seems to describe what I’m doing. Is it OK to use this code?
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LeFort Fracture Repair
Kim, thank you for coming to our practice a few months ago for coding education. You kept everyone’s attention and my partners said they enjoyed the session. I had a coding question and was wondering if you can offer your insight. I have a patient with bilateral LeFort I, II and III fractures which were fixated on each side. Is it appropriate to code for the bilateral LeFort I, II, and III separately or do they need to be coded a different manner?
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Carotid Stenting without Embolic Protection
I did a carotid stent but was unable to deploy the embolic protection device. Carotid stent placement was successful with no complications. Since I attempted placement, can I still code 37215?