Tips & Expertise: PCS Spinal Fusion Basics

Q:  You covered all of the devices in the fusion tables except synthetic substitute.  When would this device be used?A:  Fusion of the spine with a synthetic substitute is extremely rare since some type of bone graft is used to “glue” the joint together.  The device...

Tips & Expertise: CPT Coding for Joint Replacement

Q:  I have a physician who performed a conversion of a patellofemoral joint to a total knee. He replaced the patellar polyethylene and implanted a total knee replacement. What would be the appropriate code for this? Would this be reported as 27447 or do we need to use...

Tips & Expertise: 2021 E/M Changes

Q: Can we count resident’s time?A: No. Teaching physician rules haven’t changed. Resident time is not billable. Q: Do you need to document exactly how you spent your time with the patient, or just the total minutes?A: It is recommended to document total minutes plus...