Don’t Sleep on Shoulder Procedures!

Is coding for shoulder procedures keeping you up at night?  Don’t worry, it happens to many of us!  Over the years, I have become pretty comfortable with these procedures, so I thought I would share some insights that may be helpful. I am sure you have heard the...

Interested in Information Blocking?

​Information Blocking has been making headlines for nearly a year now.  On April 5th, 2021, the Information Blocking provision of the 21st Century Cures Act went into effect, but you may still be asking yourself “what is information blocking?”. The 21st Century Cures...

Fractures: Things that make you go Hmm…

I remember back in the day when I first started coding, I had no clue what some of the different fracture types meant or even looked like. (Keep in mind this was a gazillion years ago and we did not use Google or the internet – we didn’t even have them for that...

CPT Coding for Spine, an Organized Approach!

Have you ever been presented with a several-page operative report for a spinal fusion surgery and felt overwhelmed? And you don’t know where to start? Then this is the webinar for you!  Have you ever heard the question; how do you eat an elephant? The answer one bite...

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...

Spinal Anatomy Coding

In a discussion about spinal anatomy, one of my coworkers once said, “It’s not so much that the spinal column is three-dimensional, it’s more five-dimensional.” I think that is an apt description of the vertebral segments that stack one on top of the other to compose...

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