Critical Questions for Critical Care

This blog post has been a long time coming, as this topic has been top-of-mind since 2018, when critical care services were placed on the Office of Inspector General (OIG) work plan. Since that time, I have had an opportunity to review hundreds of critical care charts...

Sniffing Out Sinus CPT Coding

​Did you know there are two separate nasal cavities, eight sinuses, and six turbinates to consider when coding sinus surgery?! This can make for quite a coding challenge! Most sinus surgeries performed are called Functional Endoscopic Sinus Surgery (FESS), which are...

Tips & Expertise: CPT Coding for Foot Procedures

Q: Why does CPT Assistant recommend for a scarf osteotomy, but then has “scarf” listed as an eponym for 28295?A: The scarf osteotomy refers to the shape of the cut, so could be reported with either code depending on where the cut is made on the MT. Q: Is modifier 59...

CPT Coding for Procedures on the Foot and Toes

The foot is a complex and intricate part of the human body.  Did you know, your  foot has 26 bones, 33 joints, 107 ligaments and 19 muscles? Our feet, in general, are one of the most used and abused parts of our bodies.  They are our natural shock absorbers, with each...

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