Category: CC-Orthopaedics

Billing Additional Pre-op Visit
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Billing Additional Pre-op Visit

March 10, 2022 Question: Our surgeon placed a patient on the OR schedule as an inpatient case. The surgery was elective and not an emergency case. The patient’s case was canceled because our hospital limited inpatient elective OR cases due to the spike in COVID 19 cases in our area. The patient is now being...

OATS Procedure Humeral Head
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OATS Procedure Humeral Head

February 10, 2022 Question: Our surgeon will be performing an OATS procedure with allograft on the humeral head. Will you advise on what CPT code we should report? Answer: Thanks for your inquiry. There is no CPT code for this procedure. You will use an unlisted code based on the approach. Report CPT code 24999,...

Postoperative Spinal Wound Infection
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Postoperative Spinal Wound Infection

January 27, 2022 Question: Our surgeon performed a thoracolumbar spinal procedure two weeks ago. The patient developed a wound infection requiring surgical intervention. The surgeon’s note indicates that subfascial irrigation and debridement was performed from T10 through L5. In reviewing the CPT manual, I see codes for the cervical/thoracic and the lumbar/sacral regions. Should both...

Injections with Ultrasound Guidance
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Injections with Ultrasound Guidance

December 30, 2021 Question: Is it correct CPT coding to report the ultrasound guidance CPT code 76942 when the physician performs tendon injections or a carpal tunnel injection? The CPT code descriptions for 20550, 20551, and 20526 do not include the terms “with ultrasound guidance, with permanent recording and reporting” in their definitions. Answer: There...

Subchondroplasty
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Subchondroplasty

December 2, 2021 Question: Our surgeons occasionally perform subchondroplasty procedures. We are reporting this with an unlisted code and are wondering if this is correct. Answer: Yes, through the remainder of 2021 you will continue to report an unlisted CPT code. The AMA released a new Category III code in July 2021, but it is...

Vertebral Body Tethering Codes
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Vertebral Body Tethering Codes

November 11, 2021 Question: We are a pediatric orthopaedic spine practice. Our surgeons are telling us there is a new CPT code for vertebral body tethering. We have combed through the CPT book and are not able to find a code. Are you able to shed some light? Answer: Your surgeons are correct. The AMA...

Telehealth Licensure Requirements
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Telehealth Licensure Requirements

October 28, 2021 Question: We live in a northern state and frequently have patients who travel to warmer clients during the winter. Are you able to direct me to information on state licensure requirements for Telehealth services? Answer: Yes, you will now find this list on the KZA Telehealth Solution site https://karenzupko.comm/KZA-telehealth-solution-center-access. Look for the...

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