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 […]

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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 […]

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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 […]

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