Orthopedic Coder’s Anatomy: The Hip

These key terms make coding for hip procedures easier and more accurate.
If you think your hip is that thing jutting out at you in the mirror, your nomenclature needs a rehaul to ensure you’re nailing the correct codes. Coding for hip fractures and other procedures is easier when the coder is hip to the anatomy […]

Related articles:

  1. Coder’s Anatomy: Greenstick Fracture Greenstick Fracture: This type of fracture is usually found…
  2. Coder’s Anatomy Double-Take: Ileum & IliumJust when you thought your week was getting boring, it’s…
  3. Coder’s Anatomy: Mallet Finger (ICD-9 736.1) With mallet finger, the tendon on the back of…
Read More »

4 Coding Rules for Multi-Provider Modifiers

Check the work, not dictation, to prevent 42% or more in losses.
With carriers paying 62 percent on co-surgery cases, 20 percent on assistant surgeries, and 15 percent for non-MD assistants, the wrong modifier can cut your pay big time — meaning you better keep certain rules in mind.
The hang-up: “Choosing between the co-surgery and assistant surgeon modifiers […]

Related articles:

  1. Mind Your Modifiers When Your Surgeon Works With Others Automatically appending modifier 52 could be costing you hundreds….
  2. Take Our Multi-Level Spinal Surgery Coding Challenge AUDIO TRAINING EVENT: Receive Optimum Reimbursement for Spinal Co-Surgeries,…
  3. Multi-Laceration Repair Coding Case StudiesDo you know when to code repairs that occur in…
Read More »

Looking for Tonsil Biopsy Code?

Question: My physician did a punch excisional biopsy of the left tonsil, but I’m not seeing a code for this. What should I do?
Answer: You don’t see a code, because no specific code exists for a biopsy of the tonsils.
You should instead report the code based on whether the otolaryngologist used a scope. If he […]

Related articles:

  1. Know Your Magnifiers for Microscope Coding Success Your ENT has invested training time and money in…
  2. CPT 45380 Challenge: Endoscopy with BiopsyQuestion: My gastroenterologist performs mapping biopsies on patients who have…
  3. Coding Challenge: Prior Cancerous Biopsy, But No Residual Tumor Question: We received a mastectomy specimen based on a…
Read More »