Q: Can I always just use G2212 if our organization follows only CMS guidelines?
A: It will depend on whether or not the payer accepts the G2212. HCG would advise to write an internal policy for coders to follow for coding of prolonged services using codes 99417 vs. G2212.
Q: If my surgeon debrides the rotator cuff, labrum, and subacromial bursal, am I correct in using 29823?
A: Yes, extensive debridement is defined as debridement of 3 or more discrete structures, and those would be considered 3 discrete structures.
Q: Are there any size requirements for the arthroscopic loose/foreign body removals?
A: No, the only requirement is that the documentation should describe either one of the following: a larger cannula was used, the portal was enlarged, or a separate incision was made to remove it.
Q: How was Vestibular Evoked Myogenic Potentials (VEMP) [say VEMP] testing reported prior to 2021?
A: Prior to 2021 the service had to be reported with an unlisted code.
Shea Lunt, RHIA, CPC, CPMA, PMP
She earned a bachelor’s degree in health information management and a master’s degree in health services administration from the University of Kansas. Shea is a Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA) and a Project Management Professional (PMP).
Shea, her husband, and their daughters, call the wide-open spaces of central Kansas home.