SuperCoder.com Will Soon Include CrossRef, 100% Lay Terms, Illustrations

New CPT to ICD-9 ‘cross walk’ tool is available to members Nov. 1.

We’ve had so many requests for a CPT to ICD-9 “cross walk” that we moved up our implementation date for this popular denial combating tool to Nov. 1. Advantage members will be able to access the feature under Tools.

Coders are working weekends to bring to you live on Nov. 1, the surgical CPT procedure code to ICD-9-CM CrossRef. By Dec. 1, SuperCoder CPT to ICD-9-CM CrossRef will also include CPT radiology, pathology, and medicine codes. “The CrossRef lets a coder look up a surgical CPT procedure code and see which ICD-9 diagnosis codes Medicare and private payer allow,” explains Jen Godreau, CPC, CPEDC, content director for SuperCoder.com.

Denials for mismatched CPT and ICD-9 codes cost practices thousands of dollars every year. SuperCoder CrossRef will help you ensure your links are correct helping you further reduce your denials rate. Plus, more code details and pictures will improve your coding accuracy.

Lay Terms, Illustrations Help You Understand CPT Codes

Starting Nov. 1, SuperCoder.com will put more accurate coding at your fingertips with Lay Terms for every CPT code for eight major specialties. SuperCoder Codesets & Tools and Advantage members should look for this feature plus visually helpful anatomical illustrations under Code Details. No more guessing what your physician’s doing — anatomical illustrations in code details for CPT procedural cardiology, family practice, gastroenterology, general surgery, ophthalmology, orthopedics, otolaryngology, and pediatrics will put a face with the procedure to make selecting the correct code even easier.

We’ve heard your frustrations on SuperCoder’s slow speed. Our IT is having hardware rushed in. Starting next week, you’ll notice faster searching — the improvements will continue weekly.

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Hip Arthroscopy, Observation Receive CPT 2011 Coding Updates

2991x, 9922x medical procedure CPT 2011 codes added.

If you’ve been frustrated about the lack of arthroscopic hip surgery codes that CPT offers, CPT 2011 will change that, with three new codes that debut on Jan. 1.

In fact, CPT will introduce over 200 new codes in 2011 to help keep your coding more specific than ever, spanning several categories, from dermatology to orthopedics to cardiology, and beyond.

In orthopedics, you’ll benefit from the following three hip arthroscopy codes, which will be excellent additions to CPT.

  • 29914 – Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)
  • 29915 – Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)
  • 29916 – Arthroscopy, hip, surgical; with labral repair

Check out New Observation Codes

CPT adds to your E/M coding options with the introduction of three new observation codes, as follows:

  • 99224 – Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient’s hospital floor or unit.
  • 99225 – Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or

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Urology Coding: Capture Kegel Exercise Pay With E/M

Don’t assume 90911 is the correct code choice.

Question: Is there a procedure code for billing for Kegel exercise teaching? Can we use code 90911 or possibly 97110?

Answer: There are no specific CPT or HCPCS codes for the performance of or teaching of Kegel exercises. To bill for teaching a patient how to properly perform these exercises, a nurse or medical technician must document a brief history and physical examination as well as the indications for and the expected goals of the Kegel exercises. Under these circumstances, you can then report 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician …) for this encounter.

About the service: Kegel exercises are voluntary contraction and relaxation of the perineal musculature including the urinary sphincter (pelvic diaphragm). These exercises are usually performed outside of the office without medical staff supervision, and are a non-invasive and non-surgical treatment for female and occasionally male stress urinary incontinence.

Pitfall: You should only use 90911 (Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry) for the teaching of biofeedback therapy with face-to-face supervision in office by a trained member of your medical staff.

Additionally, you should use 97110 (Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) only for pelvic floor muscle rehabilitation (PFMR) performed under one-on-one supervision with a physician, physiotherapist, or ancillary office staff member specifically trained in an accredited physiotherapy program.

@ Urology Coding Alert (Editor: Leesa A. Israel, CPC, CUC, CMBS).

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Surgical Coders: Don’t Overstate Debridement

Tip: This encounter involves topical applications and patient care instruction in addition to removing devitalized tissue.

Question: When the surgeon performs a wound VAC or cleans a wound by scraping with a sharp curette (not excising tissue), is it appropriate to use a debridement code or should we report an active wound care management code from the range 97597-97606?

Ohio Subscriber

Answer: Physicians typically use the debridement codes (11000-11001, Debridement of extensive eczematous or infected skin; … or 11004-11005, Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; …) for debridement by any method.

Without…

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Tune in to Video-Conference Cat. III Code

Here’s what you need to explain in your cover letter.
Question: Our doctor has agreed to be a specialty resource for a small rural hospital. She recently provided critical care services for an ER patient with acute seizures

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