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May 11, 2023 Question: What code is used to make an incision over the femoral artery to evaluate for injury,…
April 27, 2023 Question: A patient with a clot in the femoral artery had overnight infusion of thrombolytics. When the…
April 13, 2023 Question: When choosing the level of E&M we are confused about the History and Exam. If we…
March 30, 2023 Question: We have a patient with 2 commercial payers (BCBS and Cigna). A consultation code was submitted…
March 16, 2023 Question: Our vascular surgeon did a single intervention on a lesion that was at the juncture of…
March 2, 2023 Question: During a catheterization the surgeon performed a venogram. I don’t see that these procedures are bundled,…
February 16, 2023 Question: Does TEVAR allow for billing of catheterization and intervention? Would a 59 modifier be needed? Answer:…
February 2, 2023 Question: When does a nonselective catheterization become a selective catheterization? Answer: If the catheter (not just the…
January 19, 2023 Question: We are confused about the difference between modifier 52 and 53. What is the difference? Answer:…
December 15, 2022 Question: In 2023, will the level of service be determined by history, exam and medical decision making,…
December 1, 2022 Question: In the 2021 E/M revision guidelines, how does Time affect billing for a teaching physician’s E/M…
November 17, 2022 Question: If the surgeon uses a covered stent and performs an embolization on a patient with a…
November 3, 2022 Question: My vascular surgeon performed a dialysis circuit open revision, and had to remove subcutaneous fat during…
October 20, 2022 Question: Our surgeon performed an aortogram with run-off to bilateral lower extremities. He then performed interventions in…
October 6, 2022 Question: The new guidelines that are coming out in 2021 for all types of E/M services, right?…
September 22, 2022 Question: I sent a patient out to the hospital for a CTA and the patient brought in…
September 8, 2022 Question: The surgeon used a stent and then inserted an embolization coil for an aneurysm. Are both…
August 25, 2022 Question: Our vascular surgeon documented a single intervention for a lesion that crosses the margin between the…
August 11, 2022 Question: Can we bill for all vessels mentioned if they are documented within the angiogram? Answer: No.…
July 28, 2022 Question: I’m new to vascular coding, can we bill for vascular access for a catheterization? The provider…
July 14, 2022 Question: I have 2 vascular surgeons from the same practice that want to bill co-surgery for a…
June 30, 2022 Question: Does it matter that the open exposure codes are now add-on codes? Does that change payment…
June 16, 2022 Question: I almost always use a 12 French or larger catheter for placing the main body for…
June 2, 2022 Question: Now that we aren’t limited to HIPAA compliant software, can we use any app or platform…
May 19, 2022 Question: I’m confused about how to code the catheterization with the new EVAR codes. We still do…
May 5, 2022 Question: We have an office-based vein center and have heard that something called LCDs should be followed…
April 21, 2022 Question: Can we bill the 92242 for the indocyanine green injection intraoperatively, for example to assess perfusion…
April 7, 2022 Question: I’m a general surgeon. Some of my team are reporting the negative pressure wound therapy codes…
March 24, 2022 Question: Are there any vascular CPT codes that still allow separate reporting of selective and non-selective catheterization…
March 10, 2022 Question: Is catheterization separately reported with renal angiograms? Answer: No. The renal angiogram codes, see table below,…
Articles
Does My Documentation Tell the Story in Critical Care? SCCM Critical Connections – August 2019 by Deborah Grider The initial and…
AAOSNow – July 2017 by Michael R. Marks, MD, MBA, and Cheryl Toth, MBA Coding May Not Be the Reason…
Liability Management 101 – August 2016 by Michael R. Marks, MD, MBA Why Malpractice Insurance Is Not Enough Today’s orthopaedic practices…
AAOS Now – July 2016 by Cheryl Toth, MBA New announcements and guidance push providers toward an active program If your…
Greenbranch – May/June 2013 Kim Pollock, RN, MBA, CPC Many physicians continue to wrestle with an economy-in-recovery and declining reimbursements. In…
Physicians Practice – 2016 by Karen Zupko What has your billing service done for you lately? A good vendor does more than just…
Mystery Shopping Results Indicate a Need for Improvement – April 2016 by Karen Zupko and Samantha Lappe After the news of a…
by Kyle M. Lee Survey finds a smooth road so far On Oct. 1, 2015, the 10th revision of the…
by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer…
The American Journal of Orthopedics – December 2015 by Karen Zupko, BSJ If you are a solo orthopedic surgeon or…
Greenbranch – Nov/Dec 2015 by Cheryl Toth, MBA, and Michael J. Sacopulos, JD Many physicians and practice staff use short messaging…
Physicians Practice – September 2013 by Karen Zupko and Cheryl Toth, MBA Several years ago, we visited a practice in…
The Journal of Medical Practice Management – January/February 2015 by Cheryl Toth, MBA With the proper planning and preparation, nonphysician…
The American Journal of Orthopedics – January 2015 by Jennifer A. O’Brien, MSOD Tearful breakdowns and loud outbursts—they happen with…
Journal of Medical Practice Management – May/June 2014 by Jennifer A. O’Brien, MSOD, and Sherry DeJarnette, CPA There are many reasons to…
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD In addition to the compliance and security issues highlighted in…
AAOS Now – April 2014 by Jennifer A. O’Brien, MSOD When a physician gives an order to a nurse, technician,…
AAOS Now – February 2014 by Cheryl L. Toth, MBA Recently, an orthopaedic surgeon remarked that he was thinking about…
Journal of Practice Management – May/June 2000; July/August 2000; September/October 2000 by James G. Stuart J.D. This is the first…
