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Orthopedic Coding Clinic: Labral Tears

10-2:00 in the op note signals SLAP lesion repair.
Even experts can land on the wrong ICD-9 code for SLAP lesion repair, but visualizing the injury region as a clock will help you distinguish one type of SLAP (superior labral anterior posterior) tear from another.
Research Patient History for Accurate Diagnosis
Having a solid understanding of anatomy and […]

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Surgery Coding Challenge: Master Microsurgery Units With This Advice

Check your EOB to make sure payers don’t apply a multiple-procedure reduction to +69990.
Question: When my ENT uses a microscope during a procedure, what guidelines can I use for choosing between 92504 and +69990? Is there a rule governing how many times you can report the add-on code 69990?
Answer…
You can use 92504 (Binocular microscopy [separate […]

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Want to Integrate PQRI Measures Into Your Practice? Look Here.

Participation can put extra bread in your basket.
Back again for 2010 is Medicare’s incentive-driven physician quality reporting initiative (PQRI), aimed at tracking quality metric or patient care services that physicians provide. When the practice treats enough patients in the same category, some PQRI dollars might be only a few codes away.
If you know the basics […]

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